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General NPI Number Information
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NPI Number | 1669396313
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Entity Type | Organization
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Legal Business Name | BUTTERFLY HORIZON LLC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 1876 COGGIN ST
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City | PETERSBURG
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State | VA
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Zip | 23805-1609
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Country | US
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Telephone | 804-892-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 119 PARK DR N
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City | PETERSBURG
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State | VA
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Zip | 23805-2445
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Country | US
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Telephone | 804-362-2276
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE DIRECTOR, QDDP, BS
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Name | NATARSHA NICOLE BATTS
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Credential |
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Telephone | 804-892-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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