| Breathe New Lyfe Support Services, Llc | |
|
9856 Lori Rd Ste 100 Chesterfield VA 23832-6683 | |
| (804) 467-1601 | |
| Not Available |
| Full Name | Breathe New Lyfe Support Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9856 Lori Rd Ste 100, Chesterfield, Virginia |
| Authorized Official Name and Position | Theodore L Brinkley (CEO) |
| Authorized Official Contact | 8044671601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breathe New Lyfe Support Services, Llc 9856 Lori Rd Ste 100 Chesterfield VA 23832-6683 Ph: () - | Breathe New Lyfe Support Services, Llc 9856 Lori Rd Ste 100 Chesterfield VA 23832-6683 Ph: (804) 467-1601 |
| NPI Number | 1821797820 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821797820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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