| Lifestyle Enhancement Partners Llc | |
|
51 Shumate Dr Collinsville VA 24078-1652 | |
| (276) 806-9615 | |
| Not Available |
| Full Name | Lifestyle Enhancement Partners Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 51 Shumate Dr, Collinsville, Virginia |
| Authorized Official Name and Position | Kurtasha Waller (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2768069615 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Enhancement Partners Llc 51 Shumate Dr Collinsville VA 24078-1652 Ph: () - | Lifestyle Enhancement Partners Llc 51 Shumate Dr Collinsville VA 24078-1652 Ph: (276) 806-9615 |
| NPI Number | 1073212064 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073212064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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