=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962219063
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SAVING ONES AT RISK, PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2024
-----------------------------------------------------
Last Update Date | 12/12/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9509 HULL STREET RD STE C
-----------------------------------------------------
City | NORTH CHESTERFIELD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23236-1494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-404-6260
-----------------------------------------------------
Fax | 804-414-6036
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9509 HULL STREET RD STE C
-----------------------------------------------------
City | NORTH CHESTERFIELD
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23236-1494
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 804-404-6260
-----------------------------------------------------
Fax | 804-414-6036
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | JOY CARTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 804-404-6260
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------