Healthcare Provider Details

I. General information

NPI: 1285570176
Provider Name (Legal Business Name): NEUROHIVE THERAPEUTIC COLLABORATIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 LOCUST GROVE LN
VIRGINIA BEACH VA
23456-6715
US

IV. Provider business mailing address

2401 LOCUST GROVE LN
VIRGINIA BEACH VA
23456-6715
US

V. Phone/Fax

Practice location:
  • Phone: 775-777-7306
  • Fax: 775-777-7306
Mailing address:
  • Phone: 775-777-7306
  • Fax: 775-777-7306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHANIE RODZEWICZ
Title or Position: OWNER
Credential: OTD, OTR/L, DIR-E
Phone: 775-777-7306