Healthcare Provider Details

I. General information

NPI: 1659204394
Provider Name (Legal Business Name): EXPLORE NEST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13304 GARLAND LN
MIDLOTHIAN VA
23114-6573
US

IV. Provider business mailing address

13304 GARLAND LN
MIDLOTHIAN VA
23114-6573
US

V. Phone/Fax

Practice location:
  • Phone: 480-747-2690
  • Fax:
Mailing address:
  • Phone: 480-747-2690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. RUMBIDZAI ROSELINE MUGARO
Title or Position: MANAGING MEMBER
Credential:
Phone: 480-747-2690