| The Life Changing Center, Llc | |
|
308 Barnstable Quay Virginia Beach VA 23452-8002 | |
| (757) 581-6452 | |
| Not Available |
| Full Name | The Life Changing Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 308 Barnstable Quay, Virginia Beach, Virginia |
| Authorized Official Name and Position | Dana Monique Peprah (OWNER) |
| Authorized Official Contact | 7575816452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Life Changing Center, Llc 308 Barnstable Quay Virginia Beach VA 23452-8002 Ph: (757) 581-6452 | The Life Changing Center, Llc 308 Barnstable Quay Virginia Beach VA 23452-8002 Ph: (757) 581-6452 |
| NPI Number | 1588952600 |
|---|---|
| Provider Enumeration Date | 07/11/2011 |
| Last Update Date | 07/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588952600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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