MEDICARE: REFOCUS COUNSELING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1013698737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REFOCUS COUNSELING LLC

Provider Business Mailing Address
First Line	:	3200 RANSOM HILLS RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-3571
Country	:	US
Telephone Number	:	804-502-3723
Fax Number	:

Provider Business Practice Location Address
First Line	:	11923 CENTRE ST STE C
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23831-1702
Country	:	US
Telephone Number	:	804-306-8909
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	MRS. TREVENE GORDON
Credential	:	M.A., LPC, CSAC
Telephone Number	:	804-502-3723

Provider Enumeration Date	:	07/26/2023
Last Update Date	:	05/19/2026

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