Healthcare Provider Details

I. General information

NPI: 1912830860
Provider Name (Legal Business Name): DOMINION RESTORATION & RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1124 MADISON LYNN WAY
CHESAPEAKE VA
23322-4413
US

IV. Provider business mailing address

1124 MADISON LYNN WAY
CHESAPEAKE VA
23322-4413
US

V. Phone/Fax

Practice location:
  • Phone: 757-328-4390
  • Fax: 757-328-4390
Mailing address:
  • Phone: 757-328-4390
  • Fax: 757-328-4390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHRISTINA PIERRE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 757-328-4390