| NPI | 1710656749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE PETROSKY FREE Owner, Psychiatric Clinician 434-300-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 171400000X | |
| 171M00000X Case Manager/Care Coordinator | |
| 174H00000X Health Educator | |
| 163WG0000X Registered Nurse General Practice | |
| 163WN1003X Registered Nurse Nutrition Support | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 163WC0400X Registered Nurse Case Management | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-08-04 |