Abundant Life Therapeutic Services Llc

LBN: Abundant Life Therapeutic Services Llc
Abundant Life Therapeutic Services Llc is an health care organization with primary practice located at 645 Church St. Suite 104C, Norfolk VA 23510. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Abundant Life Therapeutic Services Llc can be contacted via phone (757) 616-0657, or through Anderson, Melvin L via phone (757) 616-0657.

Contact Information

Primary practice address
645 Church St. Suite 104C Norfolk VA 23510
Phone: (757) 616-0657
Fax: (757) 533-9369
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Melvin L
Phone: (757) 616-0657

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 2154 Virginia

Profile Details

NPI number 1285076067
LBN Legal business name Abundant Life Therapeutic Services Llc
DBA Doing business as
Authorized official Anderson, Melvin L
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2013
Last updated Jun 5th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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