| Transforming Life Care Services Llc | |
|
509 Bay Oak Dr Chesapeake VA 23323-4245 | |
| (804) 980-5763 | |
| Not Available |
| Full Name | Transforming Life Care Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 509 Bay Oak Dr, Chesapeake, Virginia |
| Authorized Official Name and Position | Lynnelle Renee' Harrell (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8049805763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Transforming Life Care Services Llc 509 Bay Oak Dr Chesapeake VA 23323-4245 Ph: (804) 980-5763 | Transforming Life Care Services Llc 509 Bay Oak Dr Chesapeake VA 23323-4245 Ph: (804) 980-5763 |
| NPI Number | 1043587652 |
|---|---|
| Provider Enumeration Date | 11/27/2011 |
| Last Update Date | 11/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043587652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904007188 (Virginia) | Primary |
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