Organization Active NPI

Rebuilding Transformation Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Hill, VA
National Provider Identifier
1750175121
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 8, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.