Healthcare Provider Details

I. General information

NPI: 1447115910
Provider Name (Legal Business Name): FACES BEHIND A PURPOSE FOR YOU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 VINTON ST
RICHMOND VA
23231-3634
US

IV. Provider business mailing address

1416 VINTON ST
RICHMOND VA
23231-3634
US

V. Phone/Fax

Practice location:
  • Phone: 804-729-2229
  • Fax:
Mailing address:
  • Phone:
  • 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: TANYKA ABBOTT
Title or Position: CLINICIAN
Credential: LCSW
Phone: 804-521-5163