| 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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