Healthcare Provider Details

I. General information

NPI: 1942147285
Provider Name (Legal Business Name): ABIGAYLE HODGES MA, LMHP-R
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 BREMO RD STE 101
RICHMOND VA
23226-2442
US

IV. Provider business mailing address

411 PATRICK AVE
RICHMOND VA
23222-2818
US

V. Phone/Fax

Practice location:
  • Phone: 804-214-7663
  • Fax:
Mailing address:
  • Phone: 757-646-5127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704016668
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: