| Lifeline Services Inc. | |
|
390 Commerce Dr Suite D Abingdon VA 24211-3876 | |
| (276) 623-2444 | |
| Not Available |
| Full Name | Lifeline Services Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 390 Commerce Dr, Abingdon, Virginia |
| Authorized Official Name and Position | David Richard Hever (CO-DIRECTOR) |
| Authorized Official Contact | 2766232444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeline Services Inc. 390 Commerce Dr Suite D Abingdon VA 24211-3876 Ph: (276) 623-2444 | Lifeline Services Inc. 390 Commerce Dr Suite D Abingdon VA 24211-3876 Ph: (276) 623-2444 |
| NPI Number | 1770522559 |
|---|---|
| Provider Enumeration Date | 06/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770522559 | NPI | - | NPPES |
| 221491 | Other | VA | SOUTHEAST SERVICES INC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0701001513 (Virginia) | Primary |
| 101YM0800X | Counselor - Mental Health | 0701001513 (Virginia) | Primary |
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