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General NPI Number Information
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NPI Number | 1710656749
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Entity Type | Organization
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Legal Business Name | PRESENCE PSYCHIATRIC SERVICES, LLC
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Dates
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Enumeration Date | 09/13/2021
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 1010 EDNAM CTR STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4616
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Country | US
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Telephone | 434-989-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 1010 EDNAM CTR STE 201
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4616
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Country | US
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Telephone | 434-300-3733
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Fax | 434-322-4082
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Authorized Official
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Title or Position | OWNER, PSYCHIATRIC CLINICIAN
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Name | MRS. DANIELLE PETROSKY FREE
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Credential | PMHNP
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Telephone | 434-300-3733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 163WN1003X
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Taxonomy Name | Nutrition Support Registered Nurse
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 163WA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Registered Nurse
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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