| Hope For Life | |
|
235 S Lakewood St Pennington Gap VA 24277-2039 | |
| (276) 639-5710 | |
| Not Available |
| Full Name | Hope For Life |
|---|---|
| Speciality | Counselor - Professional |
| Location | 235 S Lakewood St, Pennington Gap, Virginia |
| Authorized Official Name and Position | Kim L Lawson (THERAPIST/DIRECTOR) |
| Authorized Official Contact | 2766395710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope For Life 235 S Lakewood St Pennington Gap VA 24277-2039 Ph: (276) 639-5710 | Hope For Life 235 S Lakewood St Pennington Gap VA 24277-2039 Ph: (276) 639-5710 |
| NPI Number | 1750621488 |
|---|---|
| Provider Enumeration Date | 02/16/2013 |
| Last Update Date | 02/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750621488 | NPI | - | NPPES |
| 1402 | Other | KY | KENTUCKY LICENSING BOARD |
| 0701005355 | Other | VA | VIRGINIA LICENSING BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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