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General NPI Number Information
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NPI Number | 1134947625
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Entity Type | Organization
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Legal Business Name | ENCHANTED BLESSINGS, LLC
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 24397 JONES DR
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City | DREWRYVILLE
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State | VA
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Zip | 23844-2066
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Country | US
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Telephone | 757-758-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 24397 JONES DR
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City | DREWRYVILLE
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State | VA
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Zip | 23844-2066
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Country | US
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Telephone | 757-758-0512
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEY NICOLE JENKINS
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Credential | QMHP
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Telephone | 757-758-0512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 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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Taxonomy #4
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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