Provider Demographics
NPI:1134861040
Name:PREPPING FOR PERFECTION, LLC
Entity type:Organization
Organization Name:PREPPING FOR PERFECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:DR
Authorized Official - First Name:RHANADA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DSL
Authorized Official - Phone:757-336-8356
Mailing Address - Street 1:3615 VICTORY BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23701-3419
Mailing Address - Country:US
Mailing Address - Phone:757-336-8356
Mailing Address - Fax:757-257-3450
Practice Address - Street 1:3615 VICTORY BLVD STE 105
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23701-3419
Practice Address - Country:US
Practice Address - Phone:757-336-8356
Practice Address - Fax:757-257-3450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities