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NPI Code Detail

MEDICARE: PREPPING FOR PERFECTION, LLC

MEDICARE: PREPPING FOR PERFECTION, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2251S00000XCommunity/Behavioral Health Agency
3261QD1600XDevelopmental Disabilities Clinic/Center
4101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1134861040
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREPPING FOR PERFECTION, LLC
Provider Business Mailing Address
First Line : 6465 COLLEGE PARK SQ STE 210
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-3622
Country : US
Telephone Number : 757-336-8356
Fax Number : 757-257-3450
Provider Business Practice Location Address
First Line : 6465 COLLEGE PARK SQ STE 210
Second Line : 210
City : VIRGINIA BEACH
State : VA
Zip : 23464-3622
Country : US
Telephone Number : 757-336-8356
Fax Number : 757-257-3450
Authorized Official
Title or Position : CEO
Name : DR. RHANADA VAZQUEZ
Credential : DSL
Telephone Number : 757-336-8356
Provider Enumeration Date : 04/11/2022
Last Update Date : 11/07/2025

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Directions to “PREPPING FOR PERFECTION, LLC ” Practice Location

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