| Abundance Of Hope Service Llc | |
|
132 N Sycamore St Ste 15 Petersburg VA 23803-3262 | |
| (804) 479-1127 | |
| Not Available |
| Full Name | Abundance Of Hope Service Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 N Sycamore St Ste 15, Petersburg, Virginia |
| Authorized Official Name and Position | Lequita Tims Davis (CEO) |
| Authorized Official Contact | 8044791127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundance Of Hope Service Llc 132 N Sycamore St Ste 15 Petersburg VA 23803-3262 Ph: (804) 479-1127 | Abundance Of Hope Service Llc 132 N Sycamore St Ste 15 Petersburg VA 23803-3262 Ph: (804) 479-1127 |
| NPI Number | 1255206157 |
|---|---|
| Provider Enumeration Date | 10/09/2025 |
| Last Update Date | 10/09/2025 |
| Certification Date | 10/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255206157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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