REDEFINE THERAPY LLC NPI 1245936616

NPI Information

  • NPI: 1245936616
  • Provider Name: REDEFINE THERAPY, LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1216 GRANBY ST STE 211
    NORFOLK, VA
    ZIP 23510
  • Phone: (757) 632-0343

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NPI Details

REDEFINE THERAPY, LLC is a professional counselor in Norfolk, VA. REDEFINE THERAPY, LLC NPI is 1245936616. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1216 GRANBY ST STE 211
NORFOLK, VA
ZIP 23510-622
Phone: (757) 632-0343
Fax: (757) 974-9374

The provider's authorized official is John L Stacy .
The authorized official title is Owner/therapist and has the following contact phone number (757) 632-0343.

The enumeration date for this NPI number is 2/6/2023 and was last updated on 7/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11306182795MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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