Provider Demographics
NPI:1720968803
Name:R AND R MENTAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:R AND R MENTAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RAKERA
Authorized Official - Middle Name:SHUNAY
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:QPPMH
Authorized Official - Phone:804-661-1829
Mailing Address - Street 1:2846 MEADOW VIEW BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23860-8057
Mailing Address - Country:US
Mailing Address - Phone:804-661-1829
Mailing Address - Fax:804-661-1829
Practice Address - Street 1:221 E BEELINE LN APT A
Practice Address - Street 2:
Practice Address - City:HARKER HTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1909
Practice Address - Country:US
Practice Address - Phone:804-661-1829
Practice Address - Fax:804-412-0271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management