Lyle Professional Consulting, Llc | |
611 Moorefield Park Dr Suite C North Chesterfield VA 23236-3667 | |
(804) 745-2660 | |
(804) 745-2644 |
Full Name | Lyle Professional Consulting, Llc |
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Speciality | Community/behavioral Health |
Location | 611 Moorefield Park Dr, North Chesterfield, Virginia |
Authorized Official Name and Position | Sheena Althea Lyle (CEO AND PROGRAM DIRECTOR) |
Authorized Official Contact | 8047452660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lyle Professional Consulting, Llc 611 Moorefield Park Dr Ste C North Chesterfield VA 23236-3667 Ph: (804) 745-2660 | Lyle Professional Consulting, Llc 611 Moorefield Park Dr Suite C North Chesterfield VA 23236-3667 Ph: (804) 745-2660 |
NPI Number | 1427105261 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 12/14/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427105261 | NPI | - | NPPES |
010298482 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 787 (Virginia) | Primary |
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