Healthcare Provider Details

I. General information

NPI: 1376471029
Provider Name (Legal Business Name): PEERS RVA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4231 DENBIGH DR
RICHMOND VA
23235-1014
US

IV. Provider business mailing address

4231 DENBIGH DR
RICHMOND VA
23235-1014
US

V. Phone/Fax

Practice location:
  • Phone: 804-372-7211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: HOLLY ROPER
Title or Position: OWNER
Credential:
Phone: 323-676-1281