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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