| The Light Beyond Supportive Services, Llc | |
|
6906 Swanhaven Dr North Chesterfield VA 23234-5700 | |
| (804) 299-1987 | |
| Not Available |
| Full Name | The Light Beyond Supportive Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6906 Swanhaven Dr, North Chesterfield, Virginia |
| Authorized Official Name and Position | Latasha Bailey (CEO) |
| Authorized Official Contact | 8042991987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Light Beyond Supportive Services, Llc 6906 Swanhaven Dr North Chesterfield VA 23234-5700 Ph: (804) 299-1987 | The Light Beyond Supportive Services, Llc 6906 Swanhaven Dr North Chesterfield VA 23234-5700 Ph: (804) 299-1987 |
| NPI Number | 1811742331 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811742331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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