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General NPI Number Information
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NPI Number | 1770398174
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Entity Type | Organization
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Legal Business Name | REIGN WHOLE HEALTH & HEALING SERVICES, LLC
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 328 S CENTRAL AVE STE 110
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City | MEDFORD
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State | OR
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Zip | 97501-7274
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Country | US
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Telephone | 541-200-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 45 E STEWART AVE # 1093
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City | MEDFORD
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State | OR
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Zip | 97501-7924
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Country | US
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Telephone | 541-200-5804
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | VALENCIA MARIE ROLLINS
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Credential |
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Telephone | 541-200-5323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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