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Organization
ABUNDANCE OF FAITH YOUTH AND FAMILY SERVICES, LLC
Active
Organization
ABUNDANCE OF FAITH YOUTH AND FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMESHA HAYWOOD (CEO/ OWNER)
(804) 901-6065
Entity
Organization
Contact information
Practice address
421 HOLLYBROOK RIDGE LN, RICHMOND, VA 23223-2436
(804) 901-6065
Mailing address
421 HOLLYBROOK RIDGE LN, RICHMOND, VA 23223-2436
(804) 901-6065
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/20/2019
Last updated
04/20/2019
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