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General NPI Number Information
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NPI Number | 1952106155
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Entity Type | Organization
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Legal Business Name | TOUCHSTONE RESIDENTIAL TREATMENT SERVICES, LLC
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 5637 WINTERLEAF DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-2851
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Country | US
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Telephone | 804-539-6117
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Fax |
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Provider Business Mailing Address
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Address Line | 5637 WINTERLEAF DR
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-2851
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Country | US
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Telephone | 804-539-6117
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ALVA POPE
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Credential | LCSW
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Telephone | 804-539-6117
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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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