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General NPI Number Information
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NPI Number | 1578449427
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Entity Type | Organization
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Legal Business Name | RENEWED & RESTORED COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 7400 BEAUFONT SPRINGS DR STE 346
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23225-5556
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Country | US
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Telephone | 804-852-3449
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Fax |
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Provider Business Mailing Address
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Address Line | 3144 KIM DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23224-5640
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Country | US
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Telephone | 804-852-3449
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Fax | 804-566-3494
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | AUDRICE JOHNSON
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Credential | LPC
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Telephone | 804-852-3449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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