| Our Life's Journey | |
|
2723 Hickory Fork Rd Gloucester VA 23061-4032 | |
| (757) 630-2910 | |
| Not Available |
| Full Name | Our Life's Journey |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2723 Hickory Fork Rd, Gloucester, Virginia |
| Authorized Official Name and Position | Stephanie Lee (OWNER) |
| Authorized Official Contact | 7576302910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Life's Journey 2723 Hickory Fork Rd Gloucester VA 23061-4032 Ph: (757) 630-2910 | Our Life's Journey 2723 Hickory Fork Rd Gloucester VA 23061-4032 Ph: (757) 630-2910 |
| NPI Number | 1083379978 |
|---|---|
| Provider Enumeration Date | 11/04/2021 |
| Last Update Date | 11/04/2021 |
| Certification Date | 11/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083379978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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