Active NPI
Rebuilding Transformation Center LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- South Hill, VA
National Provider Identifier
1750175121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REBUILDING TRANSFORMATION CENTER LLC
- Practice address
- 1163 E Atlantic St Ste a
South Hill, VA 23970-9547 - Phone
- (804) 912-6243
- NPI assigned
- Apr 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherrad Dagner
- Title
- Owner/Ceo
- Phone
- (804) 912-6243
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
1163 E Atlantic St Ste a
South Hill, VA 23970-9547
Mailing address
10221 Krause Rd Unit 1495
Chesterfield, VA 23832-1260
National Provider Directory
National Provider DirectoryLocations
10221 Krause Rd
Unit 1495
Chesterfield, VA 23832
1163 E Atlantic St
Ste A
South Hill, VA 23970
Phone (804) 912-6243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1750175121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10221 KRAUSE RD UNIT 1495",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238321260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1163 E ATLANTIC ST STE A",
"city": "SOUTH HILL",
"state": "VA",
"postal_code": "239709547",
"telephone_number": "804-912-6243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBUILDING TRANSFORMATION CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "DAGNER",
"authorized_official_first_name": "SHERRAD",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "804-912-6243"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Hill, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.