| Lifespan Wellness Services Llc | |
|
65 E Court St Rocky Mount VA 24151-1741 | |
| (540) 418-6399 | |
| Not Available |
| Full Name | Lifespan Wellness Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 65 E Court St, Rocky Mount, Virginia |
| Authorized Official Name and Position | Ashley Spanfelner (OWNER) |
| Authorized Official Contact | 5404186399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Wellness Services Llc 65 E Court St Rocky Mount VA 24151-1741 Ph: (540) 418-6399 | Lifespan Wellness Services Llc 65 E Court St Rocky Mount VA 24151-1741 Ph: (540) 418-6399 |
| NPI Number | 1568197440 |
|---|---|
| Provider Enumeration Date | 07/23/2022 |
| Last Update Date | 07/23/2022 |
| Certification Date | 07/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568197440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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