MEDICARE: ABRIAL ADULT SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	1114	VA

General Provider Information

NPI Number	:	1427193317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABRIAL ADULT SERVICES, LLC

Provider Business Mailing Address
First Line	:	8513 OAKVIEW AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2818
Country	:	US
Telephone Number	:	804-909-7609
Fax Number	:	888-415-6554

Provider Business Practice Location Address
First Line	:	8513 OAKVIEW AVE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2818
Country	:	US
Telephone Number	:	804-909-7609
Fax Number	:	888-415-6554

Authorized Official
Title or Position	:	CEO
Name	:	MR. BRIAN KEITH SMITH SR.
Credential	:
Telephone Number	:	804-909-7609

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/21/2022

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