| Life Stages Inc. | |
|
1079 Spruce St Ste A Martinsville VA 24112-4542 | |
| (276) 634-8683 | |
| Not Available |
| Full Name | Life Stages Inc. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 1079 Spruce St Ste A, Martinsville, Virginia |
| Authorized Official Name and Position | Torey Morris (DIRECTOR) |
| Authorized Official Contact | 7323308683 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Stages Inc. Po Box 3066 Martinsville VA 24115-3066 Ph: () - | Life Stages Inc. 1079 Spruce St Ste A Martinsville VA 24112-4542 Ph: (276) 634-8683 |
| NPI Number | 1255172367 |
|---|---|
| Provider Enumeration Date | 06/03/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 06/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255172367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
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