NPI 1215873310

Den of Epiphanies, LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Petersburg, VA

Practice location

Address: 4009 Moss Point Drive, Petersburg, VA 23803
Phone: (904) 301-8931

Authorised official

Name: Sherece Bruce
Title: Owner
Phone: (804) 301-8931

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1215873310
Entity type: Organization
NPI issued: 28 Apr 2026
Record last updated: 28 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.