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

Reset Residential

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1639988678

Reset Residential is a Mental Illness Community Based Residential Treatment Facility in Petersburg, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3

Practice location Address checks out

1137 Normandale Ave W
Petersburg, VA 23803-7921
Phone: (571) 830-9256
Show map & directions

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) Taxonomy 320900000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1639988678
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ja'Van Jefferson — Managing/ Member · (571) 830-9256
NPI enumeratedJanuary 4, 2025
Last updated in NPPESJanuary 4, 2025
Certification dateJanuary 3, 2025
Mailing address1137 Normandale Ave W, Petersburg, VA 23803-7921

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