Healthcare Provider Details

I. General information

NPI: 1649130709
Provider Name (Legal Business Name): TRUU LIFE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5030 SADLER PL STE 101
GLEN ALLEN VA
23060-6146
US

IV. Provider business mailing address

5030 SADLER PL STE 101
GLEN ALLEN VA
23060-6146
US

V. Phone/Fax

Practice location:
  • Phone: 804-305-8708
  • Fax:
Mailing address:
  • Phone: 804-305-8708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: NEIDRA HARRIS
Title or Position: OPERATIONS MANAGER
Credential: HARRIS
Phone: 757-512-4414