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NPI 1578269460

NPI 1578269460 : DREAMS THERAPEUTIC SOLUTIONS : VIRGINIA BEACH, VA

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General NPI Number Information
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    NPI Number           |    1578269460
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    Entity Type          |    Organization 
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    Legal Business Name  |    DREAMS THERAPEUTIC SOLUTIONS 
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Dates
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    Enumeration Date     |    02/02/2023
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    Last Update Date     |    02/02/2023
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Provider Practice Location Address
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    Address Line         |    3630 S PLAZA TRL STE 210A 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-3300
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    Country              |    US
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    Telephone            |    757-477-9416
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3630 S PLAZA TRL STE 210A 
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    City                 |    VIRGINIA BEACH
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    State                |    VA
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    Zip                  |    23452-3300
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     NORRIS  SHERMON 
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    Credential           |    
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    Telephone            |    757-477-9416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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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        |    261QM0855X
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    Taxonomy Name        |    Adolescent and Children Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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