| New Lifescape Counseling, Llc | |
|
5330 Air Port Rd Nw Roanoke VA 24012 | |
| (540) 309-6049 | |
| (540) 779-7839 |
| Full Name | New Lifescape Counseling, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5330 Air Port Rd Nw, Roanoke, Virginia |
| Authorized Official Name and Position | Stephen Charles Thomas (OWNER) |
| Authorized Official Contact | 5407099899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Lifescape Counseling, Llc 296 Nelson St Vinton VA 24179-2203 Ph: (540) 330-9604 | New Lifescape Counseling, Llc 5330 Air Port Rd Nw Roanoke VA 24012 Ph: (540) 309-6049 |
| NPI Number | 1427745751 |
|---|---|
| Provider Enumeration Date | 04/18/2023 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427745751 | NPI | - | NPPES |
| 1982316808 | Medicaid | VA | |
| 1982316808 | Other | VA | ANTHEM, AETNA CIGNA, HUMANA, UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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