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Longevity Mental Health Group LLC

Community/Behavioral Health Agency in Glen Allen, VA · enumerated 2024 · authorized official Anthony Tyler, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316799620

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Registry record

Entity type Organization (Type 2)
Legal business name Longevity Mental Health Group LLC
Practice address 4611 Dogwood Springs Ln Apt 104, Glen Allen, VA, 23059
Enumeration date Apr 2, 2024
Last updated in NPPES Jul 7, 2026

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies Primary

Authorized official

Name Anthony Tyler
Title Ceo

Other identifiers

Identifier Type State Issuer
30017798990001 Medicaid VA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Longevity Mental Health Group LLC located?
The practice location on file with NPPES is in Glen Allen, VA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2026-07-07. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-07.