Life Enrichment Center Of Virginia | |
9409 Hull Street Rd Ste D1 North Chesterfield VA 23236-1200 | |
(804) 745-2225 | |
(804) 745-2242 |
Full Name | Life Enrichment Center Of Virginia |
---|---|
Speciality | Social Worker - Clinical |
Location | 9409 Hull Street Rd Ste D1, North Chesterfield, Virginia |
Authorized Official Name and Position | Britney Chacey (OWNER) |
Authorized Official Contact | 8047452225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Life Enrichment Center Of Virginia 9409 Hull Street Rd Ste D1 North Chesterfield VA 23236-1200 Ph: (804) 745-2225 | Life Enrichment Center Of Virginia 9409 Hull Street Rd Ste D1 North Chesterfield VA 23236-1200 Ph: (804) 745-2225 |
NPI Number | 1063833606 |
---|---|
Provider Enumeration Date | 12/28/2013 |
Last Update Date | 12/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063833606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 0904006615 (Virginia) | Primary |
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