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LIFE RECOVERY LLC NPI 1669537130


NPI Information

NPI: 1669537130
Provider Name: LIFE RECOVERY LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
616 E MAIN ST
LEBANON, VA
ZIP 24266
Phone: (276) 889-1954
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LIFE RECOVERY LLC is a clinical psychologist in Lebanon, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. LIFE RECOVERY LLC NPI is 1669537130. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

616 E MAIN ST
LEBANON, VA
ZIP 24266-800
Phone: (276) 889-1954
Fax: (276) 889-4955

The provider's authorized official is Joann Mitchell .
The authorized official title is Administrator Owner and has the following contact phone number (276) 889-1954.

The enumeration date for this NPI number is 12/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalYes
21041C0700XSocial WorkerClinicalX
32084P0800XPsychiatry & NeurologyPsychiatryX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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