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General NPI Number Information
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NPI Number | 1003550591
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Entity Type | Organization
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Legal Business Name | ROYAL FAMILY COMMUNITY SERVICES LLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 280 CHARLES H DIMMOCK PKWY STE 1
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2940
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Country | US
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Telephone | 804-805-8694
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Fax | 804-805-8694
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Provider Business Mailing Address
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Address Line | 280 CHARLES H DIMMOCK PKWY STE 1
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2940
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Country | US
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Telephone | 804-709-2053
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Fax | 804-805-8694
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Authorized Official
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Title or Position | CEO
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Name | LILITIA IBEKWE
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Credential | LMHP-S
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Telephone | 804-709-2053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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