=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851176366
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REDISCOVER YOU LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2023
-----------------------------------------------------
Last Update Date | 10/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 445 ORIANA RD STE 2
-----------------------------------------------------
City | NEWPORT NEWS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23608-3742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-604-1153
-----------------------------------------------------
Fax | 276-300-1350
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 445 ORIANA RD STE 2
-----------------------------------------------------
City | NEWPORT NEWS
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 23608-3742
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-604-1153
-----------------------------------------------------
Fax | 276-300-1350
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OUTPATIENT THERAPIST
-----------------------------------------------------
Name | KEARA COOPER
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 757-912-2409
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------