| Life Repair Center | |
|
437a S Royal Ave Frnt Royal Front Royal VA 22630-3229 | |
| (540) 823-6656 | |
| Not Available |
| Full Name | Life Repair Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 437a S Royal Ave Frnt Royal, Front Royal, Virginia |
| Authorized Official Name and Position | Stacey Philpot (OWNER/SOLE MEMBER) |
| Authorized Official Contact | 5408236656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Repair Center 437a S Royal Ave Frnt Royal Front Royal VA 22630-3229 Ph: (540) 823-6656 | Life Repair Center 437a S Royal Ave Frnt Royal Front Royal VA 22630-3229 Ph: (540) 823-6656 |
| NPI Number | 1255146684 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255146684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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