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General NPI Number Information
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NPI Number | 1295604270
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Entity Type | Organization
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Legal Business Name | PEER PLUS RECOVERY LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1809 SHIRLEYDALE AVE
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City | HENRICO
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State | VA
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Zip | 23231-4072
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Country | US
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Telephone | 804-283-1692
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 SHIRLEYDALE AVE
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City | HENRICO
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State | VA
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Zip | 23231-4072
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Country | US
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Telephone | 804-283-1692
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Fax |
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Authorized Official
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Title or Position | PEER SUPPORT SPECIALIST
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Name | GIAON R HENRY
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Credential | CPRS-R, QMHP-T, CSAC
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Telephone | 804-283-1692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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