Healthcare Provider Details

I. General information

NPI: 1538953385
Provider Name (Legal Business Name): AVENYX HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10003 COURTVIEW LN
CHESTERFIELD VA
23832-6682
US

IV. Provider business mailing address

5400 WILLOW GROVE RD
CHESTERFIELD VA
23832-9282
US

V. Phone/Fax

Practice location:
  • Phone: 804-687-8558
  • Fax:
Mailing address:
  • Phone: 804-687-8558
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KYMBERLI DIAMOND
Title or Position: OWNER
Credential: LPC
Phone: 804-687-8558