| Life Coach Community Services Of Virginia, Inc. | |
|
180 Belt Blvd Richmond VA 23224-1204 | |
| (804) 230-4760 | |
| (804) 230-4766 |
| Full Name | Life Coach Community Services Of Virginia, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 180 Belt Blvd, Richmond, Virginia |
| Authorized Official Name and Position | Stephen Alexander Parson (CEO) |
| Authorized Official Contact | 8042304760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Coach Community Services Of Virginia, Inc. Po Box 74100 Richmond VA 23236-0002 Ph: (804) 230-4760 | Life Coach Community Services Of Virginia, Inc. 180 Belt Blvd Richmond VA 23224-1204 Ph: (804) 230-4760 |
| NPI Number | 1982935359 |
|---|---|
| Provider Enumeration Date | 01/24/2010 |
| Last Update Date | 02/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982935359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 788 (Virginia) | Primary |
| 251S00000X | Community/behavioral Health | 788-17-001 (Virginia) | Secondary |
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