| Life Services Inc | |
|
3816 Candlegrove Ct Richmond VA 23223-1440 | |
| (866) 935-3314 | |
| (804) 329-9292 |
| Full Name | Life Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3816 Candlegrove Ct, Richmond, Virginia |
| Authorized Official Name and Position | Eric Anthony Goode (EXECUTIVE DIRECTER) |
| Authorized Official Contact | 8048697117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Services Inc Po Box 603 Mechanicsville VA 23111-0603 Ph: (866) 935-3314 | Life Services Inc 3816 Candlegrove Ct Richmond VA 23223-1440 Ph: (866) 935-3314 |
| NPI Number | 1336573872 |
|---|---|
| Provider Enumeration Date | 09/01/2013 |
| Last Update Date | 11/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336573872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1986-03-001 (Virginia) | Primary |
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