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

Renaissance Healthcare Group Virginia, LLC

Organization Adult Mental Health Clinic/Center · NPI 1336857275

Renaissance Healthcare Group Virginia, LLC is an Adult Mental Health Clinic/Center in Chantilly, Virginia. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14555 Avion Pkwy Ste 150
Chantilly, VA 20151-1134
Phone: (703) 682-8057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12500 Fair Lakes Cir Ste 350, Fairfax, VA 22033-3863 — (703) 682-8057

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X

Record details

NPI number1336857275
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benjamin Brady — Cfo · (615) 864-8145
Other names Pasadena Villa Outpatient - Fair Lakes; Pasadena Villa Outpatient- Chantilly; Pasadena Villa Outpatient- Chantilly
NPI enumeratedNovember 9, 2022
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address720 Cool Springs Blvd Ste 550, Franklin, TN 37067-2645