ENERGY FOR LIFE, LLC (NPI# 1861090615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861090615 |
| Entity Type | Organization |
| Organization Name | ENERGY FOR LIFE, LLC |
| Practice Address |
2600 Brownstone Cir Williamsburg VA 23185-8321 |
| Practice Telephone | 7576962370 |
| Mailing Telephone | 7576962370 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | DR. LISA J CLARKE (CEO, OWNER) |
| Authorized Official Telephone | 7576962370 |
| Authorized Official Credential | PSYD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2600 BROWNSTONE CIR |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23185-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061323 | Lisa J Clarke | Counselor | 2600 Brownstone Cir, Williamsburg, VA 23185-8321 | 2020-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579412 | Marian Shearin | Technician | 112 Indian Circle, Williamsburg, VA 23185 | 2019-10-09 |
| 1093363251 | 1st Choice In-homecare, Inc. | Durable Medical Equipment & Medical Supplies | 161-a John Jefferson Road Ste 101, Williamsburg, VA 23185 | 2019-08-30 |
| 1265939482 | Michelle Antionette Hill | Counselor | 1769 Jamestown Rd Ste 107, Williamsburg, VA 23185 | 2018-04-13 |
| 1114437480 | Kimberly Anne Allan | Orthotic Fitter | 1811 Jamestown Rd., Williamsburg, VA 23185 | 2017-10-02 |
| 1881115590 | Shawn Patrick Mcnulty | Counselor | Colonial Behavioral Health, 1657 Merrimac Trail, Williamsburg, VA 23185 | 2017-07-03 |
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1316479322 | Maureen Bounds | Pharmacist | 230 Gooch Dr, Williamsburg, VA 23185 | 2017-03-29 |
| 1386196970 | Joshua Desilva | Psychologist | 240 Gooch Drive, 2nd Floor, Williamsburg, VA 23185 | 2016-10-29 |
| 1750837001 | Ellen Lerose | Pharmacist | 5601-b Richmond Road, Williamsburg, VA 23185 | 2016-08-28 |
| 1194173922 | Michael C. Shuck, Dds PC | Dentist | 1480 Quarterpath Rd, Ste 2a, Williamsburg, VA 23185 | 2016-06-02 |
| Find all providers in zip 23185 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215986 | Sea Change Therapy Pllc | Community/Behavioral Health | 3308 Ash Vw, Williamsburg, VA 23185 | 2017-06-19 |
| 1275921520 | Independence Child Therapy Services | Community/Behavioral Health | 215 Mclaws Cir Ste 1, Williamsburg, VA 23185-5799 | 2015-01-08 |
| 1891040408 | Connect Youth and Family Services | Community/Behavioral Health | 1158 Professional Dr Ste C, Williamsburg, VA 23185-6618 | 2012-07-19 |
| 1588958516 | Midwest Counseling, LLC | Community/Behavioral Health | 523 1/2 Court Street, Williamsburg, IA 52361 | 2011-06-07 |
| 1093020489 | Williamsburg Counseling | Community/Behavioral Health | 500 Strawberry Plains Rd, Williamsburg, VA 23188-3442 | 2010-08-10 |
| 1760565915 | Colonial Behavioral Health | Community/Behavioral Health | 1657 Merrimac Trail, Williamsburg, VA 23185 | 2006-10-23 |
| 1235113713 | Whitley County Health Department | Community/Behavioral Health | 368 Penny Ln, Williamsburg, KY 40769-7481 | 2005-11-30 |
| 1154899318 | Thrive Therapy, LLC | Community/Behavioral Health | 1303 Mount Vernon Ave, Williamsburg, VA 23185-3021 | 2018-11-06 |
| 1396294567 | The Growth & Empowerment Group, Inc. | Community/Behavioral Health | 4715 Revolutionary Way, Williamsburg, VA 23188-7588 | 2016-09-28 |
| 1245618537 | Student-centered Psychological Services | Community/Behavioral Health | 215 Mclaws Cir Ste 1, Williamsburg, VA 23185-5799 | 2015-05-07 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
Please comment or provide details below to improve the information on ENERGY FOR LIFE, LLC.
| 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.