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General NPI Number Information
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NPI Number | 1558208637
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Entity Type | Organization
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Legal Business Name | OSUN FAMILY HEALING SERVICES PLLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 2101 PHAUP ST UNIT A
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City | RICHMOND
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State | VA
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Zip | 23223
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Country | US
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Telephone | 725-230-7364
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Fax | 725-230-7364
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Provider Business Mailing Address
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Address Line | 1601 WILLOW LAWN DR. STE 304 (#1052)
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City | RICHMOND
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State | VA
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Zip | 23230
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Country | US
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Telephone | 725-230-7364
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Fax | 725-230-7364
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | CLARISSA CANNON
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Credential | LCSW
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Telephone | 725-230-7364
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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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