# JUN-LIZZ LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JUN-LIZZ Serenity care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710468665
- **Authorized official:** CRYSTAL LESTER-LEWIS BS QMHP RPRS CSAC-A (OWNER)
- **Authorized official phone:** (804) 767-9723

## Contact information

- **Practice address:** 4325 MYLAN RD, RICHMOND, VA 23223-2273
- **Practice address phone:** (804) 767-9723
- **Mailing address:** 4325 MYLAN RD, RICHMOND, VA 23223-2273
- **Mailing address phone:** (804) 767-9723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 0711000285 | VA | — |
| 101YM0800X | Mental Health Counselor | 0732000133 | VA | — |
| 171M00000X | Case Manager/Care Coordinator | 0732000133 | VA | Yes |
| 175T00000X | Peer Specialist | 0735000015 | VA | — |
| 251B00000X | Case Management Agency | 0732000133 | VA | — |
| 251E00000X | Home Health Agency | 0732000133 | VA | — |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 08/28/2018