| Live Body Brave | |
|
139 Tilden Ave Ste F Chesapeake VA 23320-3973 | |
| (757) 681-6676 | |
| Not Available |
| Full Name | Live Body Brave |
|---|---|
| Speciality | Counselor |
| Location | 139 Tilden Ave Ste F, Chesapeake, Virginia |
| Authorized Official Name and Position | Rachel Micheletti (OWNER) |
| Authorized Official Contact | 7576816676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Live Body Brave 420 W 36th St Norfolk VA 23508-3206 Ph: (757) 681-6676 | Live Body Brave 139 Tilden Ave Ste F Chesapeake VA 23320-3973 Ph: (757) 681-6676 |
| NPI Number | 1376392464 |
|---|---|
| Provider Enumeration Date | 05/13/2024 |
| Last Update Date | 05/13/2024 |
| Certification Date | 05/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376392464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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