Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imago Dei Support Services LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1700639770

Imago Dei Support Services LLC is a Developmentally Disabled Services Day Training Agency in Woodbridge, Virginia. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12531 Clipper Dr Ste 101
Woodbridge, VA 22192-2355
Phone: (571) 427-2710
Fax: (804) 714-0023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmentally Disabled Services Day Training Agency (primary) Taxonomy 251C00000X

Record details

NPI number1700639770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Gbadebo — Program Director · (804) 218-2595
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 9, 2024
Certification dateApril 9, 2024
Mailing address12531 Clipper Dr Ste 101, Woodbridge, VA 22192-2355

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