Living Life Supportive Services LLC
NPI #1134958820 in Petersburg, Virginia
Provider Information
- NPI Number
- 1134958820
- Entity Type
- Organization
- Organization Name
- Living Life Supportive Services LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 30, 2024
- Last Updated
- Jul 30, 2024
Practice Location
- Address
- 20 E TABB ST STE 205
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23803-4560
- Phone
- (804) 536-5066
Authorized Official
- Name
- CASSANDRA MERRICK, LPC
- Title
- OWNER
- Phone
- (804) 536-5066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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