| Lifeline Community Behavioral Health Llc | |
|
57 Dupont Rd Martinsville VA 24112-4618 | |
| (276) 806-8982 | |
| Not Available |
| Full Name | Lifeline Community Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57 Dupont Rd, Martinsville, Virginia |
| Authorized Official Name and Position | Derek Brown (OWNER) |
| Authorized Official Contact | 2768068982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Community Behavioral Health Llc 406 Harris Dr Martinsville VA 24112-1712 Ph: (276) 806-8982 | Lifeline Community Behavioral Health Llc 57 Dupont Rd Martinsville VA 24112-4618 Ph: (276) 806-8982 |
| NPI Number | 1477363216 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477363216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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