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ABUNDANT LIFE THERAPEUTIC SERVICES LLC
NPI 1285076067
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Norfolk, VA

Active since July 22, 2013
645 CHURCH ST., SUITE 104C, NORFOLK, VA 23510(757) 616-0657(757) 533-9369 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abundant Life Therapeutic Services Llc NPPES

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

ABUNDANT LIFE THERAPEUTIC SERVICES LLC (NPI 1285076067) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Norfolk, Virginia and active in the NPI registry since July 2013. The organization lists Melvin L Anderson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285076067
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameABUNDANT LIFE THERAPEUTIC SERVICES LLC
Location Address645 CHURCH ST., SUITE 104CNorfolk, VA 23510
Mailing Address645 Church St, Suite 104cNorfolk, VA 23510-1712 · (757) 616-0657 · Fax (757) 533-9369
Phone(757) 616-0657
Fax(757) 533-9369
Organization SubpartNo
Authorized OfficialMelvin L AndersonExecutive Director · (757) 616-0657
Enumeration DateJuly 22, 2013
Last NPPES UpdateJune 5, 2015
✔ NPI 1285076067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in VA · 2154
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
645 CHURCH ST., Norfolk, VA 23510
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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 Therapeutic Services LLC's NPI number?

The NPI number for Abundant Life Therapeutic Services LLC is 1285076067. It was assigned to this organization in the NPPES registry on July 22, 2013.

Where is Abundant Life Therapeutic Services LLC located?

Abundant Life Therapeutic Services LLC is located at 645 Church St. Suite 104C, Norfolk, VA 23510. The listed phone number is (757) 616-0657.

What is Abundant Life Therapeutic Services LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Abundant Life Therapeutic Services LLC was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.