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General NPI Number Information
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NPI Number | 1720864838
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Entity Type | Organization
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Legal Business Name | YOU-TURN RESIDENTIAL LLC
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 839 POPLAR HALL DR
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City | NORFOLK
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State | VA
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Zip | 23502-3715
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Country | US
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Telephone | 757-277-4774
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Fax | 757-937-1495
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Provider Business Mailing Address
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Address Line | 839 POPLAR HALL DR
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City | NORFOLK
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State | VA
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Zip | 23502-3715
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Country | US
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Telephone | 757-277-4774
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Fax | 757-937-2064
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Authorized Official
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Title or Position | CEO
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Name | RACHAEL ORTIZ
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Credential | QMHP
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Telephone | 757-277-4774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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