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ROANENTEPRISES LLC NPI 1740412071


NPI Information

NPI: 1740412071
Provider Name: ROANENTEPRISES, LLC

Doing Business As: 180 BOYS ADOLESCENT GROUP HOME

Classification: Psychologist - 103TP2701X
Entity Type: Organization

Specialization: Group Psychotherapy

Address:
3122 W CLAY ST
RICHMOND, VA
ZIP 23230
Phone: (804) 213-0540
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ROANENTEPRISES, LLC is a group psychotherapy psychologist in Richmond, VA. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. ROANENTEPRISES, LLC NPI is 1740412071. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As 180 Boys Adolescent Group Home.

The provider's business location address is:

3122 W CLAY ST
RICHMOND, VA
ZIP 23230-728
Phone: (804) 213-0540
Fax: (804) 213-0542

The provider's authorized official is Marvin Van Roane .
The authorized official title is President/ceo and has the following contact phone number (804) 349-6382.

The enumeration date for this NPI number is 8/20/2009 and was last updated on 8/20/2009.


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
1103TP2701XPsychologistGroup PsychotherapyYes

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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