Life Space Therapy Services, Pllc in Midlothian, VA

Life Space Therapy Services, Pllc is a medicare enrolled mental health clinic (Counselor - Professional) in Midlothian, Virginia. The current practice location for Life Space Therapy Services, Pllc is 14107 Old Fort Dr, Midlothian, Virginia. For appointments, you can reach them via phone at (540) 753-0094. The mailing address for Life Space Therapy Services, Pllc is 14107 Old Fort Dr, Midlothian, Virginia and phone number is () -.

Life Space Therapy Services, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1083431571. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (540) 753-0094.

Contact Information

	Life Space Therapy Services, Pllc
	14107 Old Fort Dr Midlothian VA 23113-3948
	(540) 753-0094
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	Life Space Therapy Services, Pllc
Speciality	Counselor
Location	14107 Old Fort Dr, Midlothian, Virginia
Authorized Official Name and Position	David Gamble (LPC)
Authorized Official Contact	5407530094
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Life Space Therapy Services, Pllc 14107 Old Fort Dr Midlothian VA 23113-3948 Ph: () -	Life Space Therapy Services, Pllc 14107 Old Fort Dr Midlothian VA 23113-3948 Ph: (540) 753-0094

NPI Details:

NPI Number	1083431571
Provider Enumeration Date	09/25/2024
Last Update Date	09/25/2024
Certification Date	09/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	2062944341
Medicare Enrollment ID	O20241010003491

Medical Identifiers

Medical identifiers for Life Space Therapy Services, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083431571	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Life Space Therapy Services, Pllc acts as a billing entity for following providers:

Provider Name	David Gamble
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1154068971 PECOS PAC ID: 2769914043 Enrollment ID: I20241010003712

Reviews and Comments

Counselor in Midlothian, VA

Commonwealth Behavioral Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13356 Midlothian Tpke, Suite 202, Midlothian, VA 23113 Phone: 804-721-1720 Fax: 804-214-2177
Empowerment Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1133 Jefferson Green Cir, Midlothian, VA 23113 Phone: 804-794-7777
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13926 Hull Street Rd, Midlothian, VA 23112 Phone: 804-980-5266 Fax: 804-739-8839
Comfort Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 Huguenot Rd Ste 200b, Midlothian, VA 23113 Phone: 804-207-5282 Fax: 804-395-8625
Care & Wellness Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8119 Nashua Dr, Midlothian, VA 23112 Phone: 267-709-1186
Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3530 Post Office Rd Unit 4563, Midlothian, VA 23112 Phone: 804-897-1797 Fax: 888-857-8088
Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4419 Heidi Ct, Midlothian, VA 23112 Phone: 804-221-8362

Life Space Therapy Services, Pllc - Medicare Mental Health Clinic in Midlothian, VA