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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ABUNDANT LIFE TELEPSYCHIATRY LLC
NPI 1043119118
Nurse Practitioner - Psychiatric/Mental Health in Chester, VA

Active since November 04, 2026
11607 BIRDIE LN, CHESTER, VA 23831(610) 568-5776 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Abundant Life Telepsychiatry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT LIFE TELEPSYCHIATRY LLC (NPI 1043119118) is a healthcare organization registered as a psychiatric/mental health in Chester, Virginia and active in the NPI registry since November 2026. The organization lists Cheresha Samuels, Provider/ceo, as its authorized official.

NPPES Registry Identity

NPI1043119118
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameABUNDANT LIFE TELEPSYCHIATRY LLC
Location Address11607 BIRDIE LNChester, VA 23831-1690
Mailing Address11607 Birdie LnChester, VA 23831-1690
Phone(610) 568-5776
Organization SubpartNo
Authorized OfficialCheresha SamuelsProvider/ceo · (804) 489-1545
Enumeration DateNovember 4, 2026
Last NPPES UpdateNovember 5, 2026
NPPES CertifiedNovember 5, 2026
✔ NPI 1043119118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
11607 BIRDIE LN, Chester, VA 23831
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abundant Life Telepsychiatry LLC's NPI number?

The NPI number for Abundant Life Telepsychiatry LLC is 1043119118. It was assigned to this organization in the NPPES registry on November 4, 2026.

Where is Abundant Life Telepsychiatry LLC located?

Abundant Life Telepsychiatry LLC is located at 11607 Birdie Ln, Chester, VA 23831. The listed phone number is (610) 568-5776.

What is Abundant Life Telepsychiatry LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Abundant Life Telepsychiatry LLC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.