Organization
ABUNDANT LIFE CENTER IIH & MHSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TONYA DENISE PRINCE MSW (OWNER)
(804) 399-7108
Entity
Organization
Contact information
Practice address
4222 BONNIEBANK RD #304, RICHMOND, VA 23234
(804) 399-7108
(804) 293-0857
Mailing address
4222 BONNIEBANK RD #304, RICHMOND, VA 23234
(804) 399-7108
(804) 293-0857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
895-03-001
VA
Other
Enumeration date
08/25/2010
Last updated
10/29/2018
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