Lifeline Mental Health Services, Llc | |
5403 Jefferson St Richmond VA 23223-6007 | |
(804) 204-9255 | |
Not Available |
Full Name | Lifeline Mental Health Services, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 5403 Jefferson St, Richmond, Virginia |
Authorized Official Name and Position | Jaclyn Nicole Boykin (CLINICIAN/OWNER) |
Authorized Official Contact | 8042049255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lifeline Mental Health Services, Llc 440 Monticello Ave Ste 1802 Norfolk VA 23510-2670 Ph: (804) 204-9255 | Lifeline Mental Health Services, Llc 5403 Jefferson St Richmond VA 23223-6007 Ph: (804) 204-9255 |
NPI Number | 1720861511 |
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Provider Enumeration Date | 08/15/2023 |
Last Update Date | 08/15/2023 |
Certification Date | 08/15/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720861511 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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