| Abraham Youth & Family Services Llc | |
|
1510 Willow Lawn Dr Richmond VA 23230-3429 | |
| (804) 675-9204 | |
| (804) 320-0770 |
| Full Name | Abraham Youth & Family Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1510 Willow Lawn Dr, Richmond, Virginia |
| Authorized Official Name and Position | Tonia Danielle Hamlin (PRESIDENT) |
| Authorized Official Contact | 8046759204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abraham Youth & Family Services Llc Po Box 35099 North Chesterfield VA 23235-0099 Ph: (804) 675-9204 | Abraham Youth & Family Services Llc 1510 Willow Lawn Dr Richmond VA 23230-3429 Ph: (804) 675-9204 |
| NPI Number | 1437480688 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 5193080927 |
|---|---|
| Medicare Enrollment ID | O20180529002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437480688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jeffrey T Lloyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255743340 PECOS PAC ID: 8820391410 Enrollment ID: I20160114000823 |
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