LEESBURG TREATMENT SERVICES, LLC
NPI 1124724836
Substance Abuse Rehabilitation Facility in Glen Allen, VA

Active since February 03, 2023
5408 WOOLSHIRE DR, GLEN ALLEN, VA 23059(804) 533-1330 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Substance Abuse Rehabilitation Facility

About LEESBURG TREATMENT SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Leesburg Treatment Services, Llc, a provider established in Glen Allen, Virginia operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1124724836 assigned on February 2023. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Robyn Tanis (Executive Director Of Contract Mgmt)

NPI
1124724836 Verify this NPI
Provider Name
LEESBURG TREATMENT SERVICES, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
5408 WOOLSHIRE DR GLEN ALLEN, VA 23059
Location Phone
(804) 533-1330
Mailing Address
1317 ROUTE 73 STE 200 MOUNT LAUREL, NJ 08054
Mailing Phone
(856) 439-6111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-03-2023
Last Update Date
04-24-2025
Code Navigator

Location Map

Secondary Locations

  • 6610 Bethlehem Rd
    Richmond, VA 23230
    (804) 533-1330
  • 155 Wadsworth Dr
    North Chesterfield, VA 23236
    (804) 533-1330

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBYN TANIS

Authorized Official Title
EXECUTIVE DIRECTOR OF CONTRACT MGMT
Authorized Official Phone
(856) 533-8762

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
5408 WOOLSHIRE DR
GLEN ALLEN, VA 23059

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124724836, enumerated as an "organization" on February 03, 2023.

The provider is located at 5408 WOOLSHIRE DR GLEN ALLEN, VA 23059 and the phone number is (804) 533-1330.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.