ABUNDANT GRACE SUPPORT SERVICES LLC – NPI #1316775380
Psychiatry & Neurology

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

ABUNDANT GRACE SUPPORT SERVICES LLC is a psychiatry & neurologist located in STAFFORD, VA. NPPES has assigned the NPI number 1316775380 to ABUNDANT GRACE SUPPORT SERVICES LLC on July 22, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084B0040X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ABUNDANT GRACE SUPPORT SERVICES LLC below.

NPI Profile for
ABUNDANT GRACE SUPPORT SERVICES LLC

NPI Number
1316775380
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ABUNDANT GRACE SUPPORT SERVICES LLC
Primary location
102 HUFF DR
STAFFORD, VA 22554-3360
Phone: (540) 818-4825 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TETTEH ADDY
ASSISTANT MANAGER
Phone: (757) 268-9992
Updated
Certification Date
Jul 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084B0040X
- Psychiatry & Neurology / Behavioral Neurology & Neuropsychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.