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

Prolific Life Services

Organization Community/Behavioral Health Agency · NPI 1780380691

Prolific Life Services is a Community/Behavioral Health Agency in Richmond, Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4615 W Broad St
Richmond, VA 23230-3243
Phone: (804) 234-4084
Fax: (804) 915-1229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X

Record details

NPI number1780380691
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darius Robinson — Program Manager · (804) 234-4084
Other names Prolific Life Services; Prolific Life Services
NPI enumeratedFebruary 2, 2023
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023
Mailing address4615 W Broad St Ste 123, Richmond, VA 23230-3243

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