| Living Beyond Loss | |
|
1720 N King St Hampton VA 23669-1910 | |
| (757) 364-0488 | |
| Not Available |
| Full Name | Living Beyond Loss |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1720 N King St, Hampton, Virginia |
| Authorized Official Name and Position | Lisa Marie Martin (CEO/OWNER) |
| Authorized Official Contact | 7573640488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Beyond Loss 1720 N King St Hampton VA 23669-1910 Ph: (757) 364-0488 | Living Beyond Loss 1720 N King St Hampton VA 23669-1910 Ph: (757) 364-0488 |
| NPI Number | 1710681978 |
|---|---|
| Provider Enumeration Date | 03/29/2023 |
| Last Update Date | 03/29/2023 |
| Certification Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710681978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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