| Living Vine Therapy | |
|
2111 Clarkton Rd Nathalie VA 24577-3133 | |
| (434) 222-9098 | |
| Not Available |
| Full Name | Living Vine Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2111 Clarkton Rd, Nathalie, Virginia |
| Authorized Official Name and Position | Berkley Anne Conner (OWNER) |
| Authorized Official Contact | 4342229098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Vine Therapy 2111 Clarkton Rd Nathalie VA 24577-3133 Ph: () - | Living Vine Therapy 2111 Clarkton Rd Nathalie VA 24577-3133 Ph: (434) 222-9098 |
| NPI Number | 1760372411 |
|---|---|
| Provider Enumeration Date | 07/05/2025 |
| Last Update Date | 07/05/2025 |
| Certification Date | 07/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760372411 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Sydnor Jennings Rd, Nathalie, VA 24577 Phone: 434-572-8598 Fax: 434-572-6282 |