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General NPI Number Information
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NPI Number | 1538953385
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Entity Type | Organization
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Legal Business Name | AVENYX HEALTH LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 10003 COURTVIEW LN
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6682
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Country | US
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Telephone | 804-687-8558
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 WILLOW GROVE RD
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City | CHESTERFIELD
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State | VA
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Zip | 23832-9282
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Country | US
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Telephone | 804-687-8558
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KYMBERLI DIAMOND
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Credential | LPC
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Telephone | 804-687-8558
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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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