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General NPI Number Information
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NPI Number | 1023986742
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Entity Type | Organization
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Legal Business Name | THERAPY REALS LLC
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR # 4966
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City | RICHMOND
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State | VA
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Zip | 23294-4648
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Country | US
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Telephone | 757-841-6045
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Fax |
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Provider Business Mailing Address
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Address Line | 4316 TILLMAN DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-1247
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Country | US
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Telephone | 757-841-6045
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | AMANDA LYNETTE ROMERO
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Credential | LPC
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Telephone | 757-841-6045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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