Healthcare Provider Details

I. General information

NPI: 1942094982
Provider Name (Legal Business Name): I AM ME SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 S MAIN ST
HOPEWELL VA
23860-3914
US

IV. Provider business mailing address

607 FAIRYSTONE CT
HENRICO VA
23075-2604
US

V. Phone/Fax

Practice location:
  • Phone: 804-336-2519
  • Fax: 804-256-7826
Mailing address:
  • Phone: 804-336-2519
  • Fax: 804-256-7826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA L BANKS
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: DHA
Phone: 804-348-2000