Provider Demographics
NPI:1184046179
Name:ABILITIES BEYOND DISABILITIES LLC
Entity Type:Organization
Organization Name:ABILITIES BEYOND DISABILITIES LLC
Other - Org Name:ABD MENTORING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SEBRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-484-7128
Mailing Address - Street 1:604 1/2 HIGH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-3437
Mailing Address - Country:US
Mailing Address - Phone:757-484-7128
Mailing Address - Fax:757-282-2990
Practice Address - Street 1:604 1/2 HIGH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3437
Practice Address - Country:US
Practice Address - Phone:757-484-7128
Practice Address - Fax:757-282-2990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-10
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251C00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services