| Live Behavioral Services Llc | |
|
100 Brunswick Ave Emporia VA 23847-2010 | |
| (804) 691-8356 | |
| Not Available |
| Full Name | Live Behavioral Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 100 Brunswick Ave, Emporia, Virginia |
| Authorized Official Name and Position | Ronnell Pearson (OWNER) |
| Authorized Official Contact | 8046918356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Behavioral Services Llc 1510 Belmeadow Cir Emporia VA 23847-2702 Ph: (804) 691-8356 | Live Behavioral Services Llc 100 Brunswick Ave Emporia VA 23847-2010 Ph: (804) 691-8356 |
| NPI Number | 1629778352 |
|---|---|
| Provider Enumeration Date | 03/09/2023 |
| Last Update Date | 03/09/2023 |
| Certification Date | 03/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629778352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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