Shelby Teasley

LBN: A Tiny Ripple Of Hope, Llc
Shelby Teasley is an health care organization with primary practice located at 7300 Hanover Green Dr , Mechanicsville VA 23111-1705. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. A Tiny Ripple Of Hope, Llc can be contacted via phone (804) 497-9064, or through Teasley, Shelby Coshetta via phone (804) 497-9064.

Contact Information

Primary practice address
7300 Hanover Green Dr Mechanicsville VA 23111-1705
Phone: (804) 497-9064
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Teasley, Shelby Coshetta QMHP
Phone: (804) 497-9064

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1023764529
LBN Legal business name A Tiny Ripple Of Hope, Llc
DBA Doing business as Shelby Teasley
Authorized official Teasley, Shelby Coshetta QMHP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2022
Last updated Nov 2nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023764529 NPPES
Virginia MEDICAID 30017494230001

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