| Energy For Life, Llc | |
|
2600 Brownstone Cir Williamsburg VA 23185-8321 | |
| (757) 696-2370 | |
| Not Available |
| Full Name | Energy For Life, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2600 Brownstone Cir, Williamsburg, Virginia |
| Authorized Official Name and Position | Lisa J Clarke (CEO, OWNER) |
| Authorized Official Contact | 7576962370 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Energy For Life, Llc 2600 Brownstone Cir Williamsburg VA 23185-8321 Ph: (757) 696-2370 | Energy For Life, Llc 2600 Brownstone Cir Williamsburg VA 23185-8321 Ph: (757) 696-2370 |
| NPI Number | 1861090615 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861090615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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