Organization
REIGN OR SHINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN RICKS (CEO)
(804) 293-0470
Entity
Organization
Contact information
Practice address
7400 BEAUFONT SPRINGS DR STE 300, NORTH CHESTERFIELD, VA 23225-5519
(804) 293-0470
(804) 482-2924
Mailing address
1712 BINFORD CT, RICHMOND, VA 23223-2062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
11/21/2024
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