Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis Reign Support Services LLC

Organization Community/Behavioral Health Agency · NPI 1477254894

Genesis Reign Support Services LLC is a Community/Behavioral Health Agency in North Chesterfield, Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6406 Bareback Ter
North Chesterfield, VA 23234-4195
Phone: (804) 926-3696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1477254894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Jack — Owner · (804) 926-3696
NPI enumeratedMarch 13, 2023
Last updated in NPPESOctober 11, 2023
Certification dateOctober 11, 2023
Mailing address6406 Bareback Ter, North Chesterfield, VA 23234-4195

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