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General NPI Number Information
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NPI Number | 1467291906
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Entity Type | Organization
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Legal Business Name | STEPS TO SERENITY - VIRGINIA BEACH, LLC
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 2697 INTERNATIONAL PARKWAY BUILDING 1, SUITE 205
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452
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Country | US
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Telephone | 757-774-8066
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Fax | 757-774-8066
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Provider Business Mailing Address
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Address Line | 1361 BEACONS REACH DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23454-5548
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Country | US
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Telephone | 757-506-8252
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Fax | 757-774-8066
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER ANN ROCHA
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Credential |
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Telephone | 757-506-8252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 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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