| Life Enrichment Services, Llc | |
|
150 W Springbrook Rd Broadway VA 22815 | |
| (540) 908-8585 | |
| (540) 901-2485 |
| Full Name | Life Enrichment Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 150 W Springbrook Rd, Broadway, Virginia |
| Authorized Official Name and Position | Monica Post Johns (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5409088585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enrichment Services, Llc 133 W Springbrook Rd Broadway VA 22815-9527 Ph: (540) 908-8585 | Life Enrichment Services, Llc 150 W Springbrook Rd Broadway VA 22815 Ph: (540) 908-8585 |
| NPI Number | 1912440116 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912440116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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