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General NPI Number Information
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NPI Number | 1417807900
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Entity Type | Organization
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Legal Business Name | POSITIVE TRANSITIONS MENTAL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1939 REPP CIR
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City | HENRICO
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State | VA
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Zip | 23075-2433
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Country | US
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Telephone | 757-810-8221
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Fax |
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Provider Business Mailing Address
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Address Line | 1939 REPP CIR
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City | HENRICO
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State | VA
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Zip | 23075-2433
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Country | US
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Telephone | 757-810-8221
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Fax |
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Authorized Official
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Title or Position | OWNER/EXECUTIVE DIRECTOR
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Name | TIFFANY DAVIS
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Credential | BS, QMHP
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Telephone | 757-810-8221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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