Organization · Type 2 NPI

Renaissance Healthcare Group Virginia, LLC

Adult Mental Health Clinic/Center · Stafford, VA

NPI number 1467213835 Active

Practice location

125 Woodstream Blvd Ste 401
Stafford, VA 22556-4644

Call (540) 613-1298 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 Stafford

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NPI record

NPI: 1467213835
Entity type: Organization (Type 2)
Issued: Jan 22, 2024
Last updated: Aug 4, 2026
Status: Active

Other names

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

Authorized official

Benjamin Brady
CFO
(615) 864-8145

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467213835

Renaissance Healthcare Group Virginia, LLC's National Provider Identifier is 1467213835, issued on Jan 22, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Stafford, VA. The record was last updated on Aug 4, 2026.