Healthcare Provider Details

I. General information

NPI: 1962374439
Provider Name (Legal Business Name): ABUNDANT PATH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5248 OLDE TOWNE RD STE 10
WILLIAMSBURG VA
23188-1986
US

IV. Provider business mailing address

5504 WESTMORELAND DR
WILLIAMSBURG VA
23188-8114
US

V. Phone/Fax

Practice location:
  • Phone: 757-603-4603
  • Fax: 757-257-9146
Mailing address:
  • Phone: 757-603-4603
  • Fax: 757-257-9146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MEGHAN FREEMAN
Title or Position: OWNER
Credential:
Phone: 757-603-4603