Organization · Type 2 NPI

Renaissance Healthcare Group Virginia, LLC

Adult Mental Health Clinic/Center · Norfolk, VA

NPI number 1043950504 Active

Practice location

5700 Lake Wright Dr Ste 409
Norfolk, VA 23502-1859

Call (757) 918-7976 Map

Mailing address

720 Cool Springs Blvd Ste 550
Franklin, TN 37067-2645

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Other adult mental health clinic/center providers in Norfolk

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NPI record

NPI: 1043950504
Entity type: Organization (Type 2)
Issued: Mar 31, 2022
Last updated: Aug 4, 2026
Status: Active

Other names

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Pasadena Villa Outpatient- Norfolk · doing business as
Pasadena Villa Outpatient- Norfolk · doing business as

Authorized official

Benjamin Brady
CFO
(615) 864-8145

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About NPI 1043950504

Renaissance Healthcare Group Virginia, LLC's National Provider Identifier is 1043950504, issued on Mar 31, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Norfolk, VA. The record was last updated on Aug 4, 2026.