| Lifeline Counseling Associates, Inc | |
|
10305 Memory Ln Suite 202 Chesterfield VA 23832-8815 | |
| (804) 748-2000 | |
| (804) 748-9098 |
| Full Name | Lifeline Counseling Associates, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10305 Memory Ln, Chesterfield, Virginia |
| Authorized Official Name and Position | Thomas Payne Petrey (VICE PRESIDENT) |
| Authorized Official Contact | 8042579321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Counseling Associates, Inc 10305 Memory Ln Suite 202 Chesterfield VA 23832-8815 Ph: (804) 748-2000 | Lifeline Counseling Associates, Inc 10305 Memory Ln Suite 202 Chesterfield VA 23832-8815 Ph: (804) 748-2000 |
| NPI Number | 1841419652 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841419652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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