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ABUNDANT GRACE LLC
NPI 1316644636
Community/Behavioral Health in Phoenix, AZ

Active since February 08, 2023
7227 S CENTRAL AVE, #1080, PHOENIX, AZ 85042(623) 521-5935(602) 441-4838 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abundant Grace Llc NPPES

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

ABUNDANT GRACE LLC (NPI 1316644636), doing business as Khen Behavioral Clinic, is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since February 2023. The organization lists Olufemi Omodara, Owner, as its authorized official.

NPPES Registry Identity

NPI1316644636
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameABUNDANT GRACE LLC
Location Address7227 S CENTRAL AVE, #1080Phoenix, AZ 85042-2951
Mailing AddressP.o. Box 5693Goodyear, AZ 85338 · (623) 521-5935 · Fax (602) 441-4838
Phone(623) 521-5935
Fax(602) 441-4838
Organization SubpartNo
Authorized OfficialOlufemi OmodaraOwner · (623) 521-5935
Enumeration DateFebruary 8, 2023
NPPES CertifiedFebruary 8, 2023
✔ NPI 1316644636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
7227 S CENTRAL AVE, Phoenix, AZ 85042
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Other Names 1

Doing Business AsKhen Behavioral Clinic

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 Grace LLC's NPI number?

The NPI number for Abundant Grace LLC is 1316644636. It was assigned to this organization in the NPPES registry on February 8, 2023. The provider is doing business as Khen Behavioral Clinic.

Where is Abundant Grace LLC located?

Abundant Grace LLC is located at 7227 S Central Ave #1080, Phoenix, AZ 85042. The listed phone number is (623) 521-5935.

What is Abundant Grace LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Abundant Grace LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.