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General NPI Number Information
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NPI Number | 1154128874
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Entity Type | Organization
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Legal Business Name | RENEWED THOUGHT THERAPY PLLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 8401 MAYLAND DR # 7117
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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 | 804-302-2569
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 MAYLAND DR # 7117
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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 | 804-302-2569
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OPEYEMI DADA
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Credential |
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Telephone | 240-505-2416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 103T00000X
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Taxonomy Name | Psychologist
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 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 #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #7
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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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