Provenance Substance Abuse & Wellness Centers LLC
NPI 1649976945 · Mental Health Clinic/Center (Including Community Mental Health Center) · Glen Allen, VA
Provenance Substance Abuse & Wellness Centers LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Glen Allen, VA (NPI 1649976945).
Provider details
- NPI number
- 1649976945
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Devolis Newburn, Owner(480) 442-9819
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is Provenance Substance Abuse & Wellness Centers LLC's NPI number?
- Provenance Substance Abuse & Wellness Centers LLC's National Provider Identifier (NPI) is 1649976945, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provenance Substance Abuse & Wellness Centers LLC?
- Provenance Substance Abuse & Wellness Centers LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Provenance Substance Abuse & Wellness Centers LLC located?
- Provenance Substance Abuse & Wellness Centers LLC's practice location on file with NPPES is 4870 Sadler Rd Pmb #8903, Glen Allen, VA 23060.
- What is Provenance Substance Abuse & Wellness Centers LLC's phone number?
- The practice phone number listed in the NPPES registry for Provenance Substance Abuse & Wellness Centers LLC is (480) 442-9819.
- Who is the authorized official for Provenance Substance Abuse & Wellness Centers LLC?
- The authorized official listed on Provenance Substance Abuse & Wellness Centers LLC's NPPES record is Devolis Newburn, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provenance Substance Abuse & Wellness Centers LLC's NPI active?
- Yes — Provenance Substance Abuse & Wellness Centers LLC's NPI (1649976945) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.