Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Provenance Substance Abuse & Wellness Centers LLC

Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Allen, VA · enumerated 2023 · authorized official Devolis Newburn, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1649976945

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Registry record

Entity type Organization (Type 2)

Legal business name Provenance Substance Abuse & Wellness Centers LLC

Practice address 4870 Sadler Rd Pmb #8903, Suite 300, Glen Allen, VA, 23060

Phone (480) 442-9819

Enumeration date Feb 7, 2023

Last updated in NPPES Aug 20, 2024

Taxonomy & classification

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Devolis Newburn

Title Owner

Phone (480) 442-9819

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Provenance Substance Abuse & Wellness Centers LLC?

NPPES lists Devolis Newburn (Owner) as the authorized official for this organization.

What is the NPI number for Provenance Substance Abuse & Wellness Centers LLC?

The NPI for Provenance Substance Abuse & Wellness Centers LLC is 1649976945, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-20.