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General NPI Number Information
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NPI Number | 1366193666
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Entity Type | Organization
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Legal Business Name | REJUVENATION AND WELLNESS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DRIVE SUITE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5519
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Country | US
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Telephone | 804-774-7063
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Fax | 804-487-8097
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Provider Business Mailing Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 300
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5519
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Country | US
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Telephone | 804-774-7063
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Fax | 804-487-8097
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. TYLER SANELLE TAYLOR
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Credential | LCSW
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Telephone | 804-774-7063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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