LIFE RECOVERY LLC (NPI# 1669537130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669537130 |
| Entity Type | Organization |
| Organization Name | LIFE RECOVERY LLC |
| Practice Address |
616 E Main St Lebanon VA 24266-4800 |
| Mailing Address |
Po Box 2336 Lebanon VA 24266-2336 |
| Practice Telephone | 2768891954 |
| Practice Fax Number | 2768894955 |
| Mailing Telephone | 2768891954 |
| Mailing Fax Number | 2768894955 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JOANN MITCHELL (ADMINISTRATOR OWNER) |
| Authorized Official Telephone | 2768891954 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
616 E MAIN ST |
| City | LEBANON |
| State | VA |
| Zip Code | 24266-4800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541174 | Nextdoor Drug | Pharmacist | 932 W Main St, Lebanon, VA 24266 | 2020-06-04 |
| 1720638661 | Advanced Practice Primary Care, Pllc | Nurse Practitioner | 2336 Coal Tipple Hollow, Lebanon, VA 24266 | 2019-09-12 |
| 1962051763 | Best Life Physical Therapy Inc. | Physical Therapist | 383 Technology Park Drive, Lebanon, VA 24266 | 2019-09-05 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1457821019 | Blue Ridge Medical Management Corporation | Internal Medicine | 71 S Flannagan Ave Suite 81, Lebanon, VA 24266 | 2018-11-27 |
| 1457867202 | Elizabeth Altizer Baker | Speech-Language Pathologist | 84 Lorraine C. Turner Dr., Russell County Public Schools, Lebanon, VA 24266 | 2017-12-15 |
| 1851805683 | Laura Hankins Vencill | Speech-Language Pathologist | Russell County Public Schools, 84 Lorraine C. Turner Dr., Lebanon, VA 24266 | 2017-12-01 |
| 1487168670 | Stacy Nichole Davis | Counselor | 78 Rogers St, Lebanon, VA 24266 | 2017-11-27 |
| 1568976751 | Kelly Elizabeth Smith | Counselor | 216 Gilmer Street, Lebanon, VA 24266 | 2017-11-27 |
| 1659883312 | Sara K Poole | Occupational Therapist | 408 Fields Ave., Lebanon, VA 24266 | 2017-11-02 |
| Find all providers in zip 24266 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255821294 | William D. Campagna | Psychologist | 1220 State Route 31, Ste. 19, Lebanon, NJ 08833 | 2018-05-15 |
| 1881196376 | Allied Health Professionals | Psychologist | 3056 Horn Springs Road, Lebanon, TX 37087-1953 | 2018-03-01 |
| 1972904894 | Mujgan Inciler | Psychologist | 5787 State Route 63, C/o Wci, Lebanon, OH 45036 | 2014-09-10 |
| 1871992578 | Samantha Robin Wertheimer | Psychologist | 1202 Ash Lane, Lebanon, PA 17042-9626 | 2014-08-19 |
| 1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
| 1104048727 | Paul J Walker Sr. | Psychologist | 5787 St Route 63, Lebanon, OH 45036 | 2007-05-03 |
| 1235274275 | John Tilghman Hower | Psychologist | 195 N Cornwall Rd E, Lebanon, PA 17042-9014 | 2007-02-20 |
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1578645974 | Georgette Ventura | Psychologist | 511 Noble St, Lebanon, PA 17042-6322 | 2006-10-19 |
| 1205847837 | Diane P Hoover | Psychologist | 1700 South Lincoln Ave (690), Lebanon, PA 17042 | 2006-08-10 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.