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NPI 1700763935

NPI 1700763935 : HARMONY HOMES YOUTH SERVICES : HENRICO, VA

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General NPI Number Information
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    NPI Number           |    1700763935
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    Entity Type          |    Organization 
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    Legal Business Name  |    HARMONY HOMES YOUTH SERVICES 
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Dates
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    Enumeration Date     |    08/19/2025
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    Last Update Date     |    08/19/2025
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Provider Practice Location Address
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    Address Line         |    6305 BLOSSOM VIEW LN 
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    City                 |    HENRICO
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    State                |    VA
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    Zip                  |    23231-5343
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    Country              |    US
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    Telephone            |    804-729-4986
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 N OAK AVE 
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    City                 |    HENRICO
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    State                |    VA
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    Zip                  |    23075-1847
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    Country              |    US
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    Telephone            |    804-874-0326
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |     RACHELLE  JOHNSON 
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    Credential           |    
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    Telephone            |    804-874-0326
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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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