| Life Impact Llc | |
|
8325 Finworth Ln North Chesterfield VA 23237-3872 | |
| (804) 549-1585 | |
| (804) 562-3736 |
| Full Name | Life Impact Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8325 Finworth Ln, North Chesterfield, Virginia |
| Authorized Official Name and Position | Annette Smith (EXCUTIVE OFFICER) |
| Authorized Official Contact | 8043257479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Impact Llc 8325 Finworth Ln North Chesterfield VA 23237-3872 Ph: (804) 549-1585 | Life Impact Llc 8325 Finworth Ln North Chesterfield VA 23237-3872 Ph: (804) 549-1585 |
| NPI Number | 1790558690 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790558690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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