Healthcare Provider Details

I. General information

NPI: 1639083033
Provider Name (Legal Business Name): GROVE RENEWAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 MAYLAND DR # 6462
RICHMOND VA
23294-4648
US

IV. Provider business mailing address

8401 MAYLAND DR # 6462
RICHMOND VA
23294-4648
US

V. Phone/Fax

Practice location:
  • Phone: 571-741-0767
  • Fax:
Mailing address:
  • Phone: 571-741-0767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATHERINE STEELE
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 703-489-3328