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LEESBURG TREATMENT SERVICES LLC NPI 1437608437


NPI Information

NPI: 1437608437
Provider Name: LEESBURG TREATMENT SERVICES, LLC

Doing Business As: PINNACLE TREATMENT SERVICES OF RICHMOND

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 49D2123758

Address:
155 WADSWORTH DR
NORTH CHESTERFIELD, VA
ZIP 23236
Phone: (804) 533-1330
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LEESBURG TREATMENT SERVICES, LLC is a rehabilitation and substance use disorder clinic center in North Chesterfield, VA. LEESBURG TREATMENT SERVICES, LLC NPI is 1437608437. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinnacle Treatment Services Of Richmond.

The provider's business location address is:

155 WADSWORTH DR
NORTH CHESTERFIELD, VA
ZIP 23236-500
Phone: (804) 533-1330

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Contract Mgmt and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 49D2123758 - other - alcohol and drug txt svc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2016 and was last updated on 1/12/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2251S00000XCommunity/Behavioral HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12720-06-001OTHERVIRGINIASTATE LICENSE

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: 4/28/2024

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