LIFE ENRICHMENT SERVICES, LLC (NPI# 1912440116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912440116 |
| Entity Type | Organization |
| Organization Name | LIFE ENRICHMENT SERVICES, LLC |
| Practice Address |
150 W Springbrook Rd Broadway VA 22815 |
| Mailing Address |
133 W Springbrook Rd Broadway VA 22815-9527 |
| Practice Telephone | 5409088585 |
| Practice Fax Number | 5409012485 |
| Mailing Telephone | 5409088585 |
| Mailing Fax Number | 5409012485 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | MONICA POST JOHNS (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 5409088585 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Life Enrichment Services, LLC | 610 S Norfolk Way, Aurora, CO 80017 |
| Street Address |
150 W SPRINGBROOK RD |
| City | BROADWAY |
| State | VA |
| Zip Code | 22815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919017 | Shenandoah Pain and Palliative Care Clinic, LLC | Nurse Practitioner | 173 E. Springbrook Road, Unit 3, Broadway, VA 22815 | 2019-12-17 |
| 1770130627 | Kathryn Walkley | Marriage & Family Therapist | 348 Louisa St, Broadway, VA 22815 | 2019-08-23 |
| 1205990983 | Tabitha T Garrison | Pain Medicine | 173 East Springbrook Road, Broadway, VA 22815 | 2006-12-20 |
| 1588742225 | Springbrook Family Medicine | Clinic/Center | 173 East Springbrook Rd, Broadway, VA 22815 | 2006-11-01 |
| 1891880217 | Broadway Family Practice, PC | Family Medicine | 12515 Timberway, Broadway, VA 22815 | 2006-10-03 |
| 1366550634 | Jeanne Marie Stutzman | Specialist | 223 E Springbook Rd, Broadway, VA 22815 | 2006-08-28 |
| 1750345310 | Brenda Mcgillivray Smith | Counselor | 1155 Early Dr, Broadway, VA 22815 | 2006-04-12 |
| 1699749648 | George Alexander Bentrem II | Family Medicine | 12515 Timber Way, Rt 259, Broadway, VA 22815 | 2006-02-15 |
| 1609367135 | Kathryn Vasco | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2018-05-21 |
| 1023477445 | Cori Pflugradt | Physician Assistant | 13892 Timber Way, Broadway, VA 22815 | 2016-02-12 |
| Find all providers in zip 22815 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053933549 | Dale Pickett IIi | Counselor | 333 Windermere Dr, Broadway, VA 22815-9489 | 2020-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831247 | Erin Roberts | Counselor | 1845 Sag Harbor Ln, Fredericksburg, VA 22401-5083 | 2020-11-05 |
| 1124629407 | Rebecca Leigh Staines | Counselor | 4620 Lee Hwy Ste 217, Arlington, VA 22207-3400 | 2020-11-04 |
| 1366043671 | Holistically You Therapeutic Services, LLC | Counselor | 2227 Old Bridge Rd Unit 221, Woodbridge, VA 22192-3007 | 2020-11-03 |
| 1528669140 | Mishawn Glover | Counselor | 2020 S Washington Street, Alexandria, VA 22114 | 2020-11-02 |
| 1356941181 | Amy H Drescher LLC | Counselor | 3615 Atlantic Ave Apt 302, Virginia Beach, VA 23451-2749 | 2020-10-30 |
| 1679173603 | Tonya Lea Warman | Counselor | 1305 N 38th St, Richmond, VA 23223-7721 | 2020-10-28 |
| 1770183774 | Shero Counseling Agency | Counselor | 117 W 21st St Ste 215b, Norfolk, VA 23517-2246 | 2020-10-28 |
| 1629678735 | Stephanie Ellzey | Counselor | 4169 Virginia Beach Blvd Ste 150, Virginia Beach, VA 23452-1783 | 2020-10-28 |
| 1992304562 | Katrena Lashawn Ready | Counselor | 2521 Trotters Ln Apt 203-7, Midlothian, VA 23113-1490 | 2020-10-23 |
| 1922607977 | The Rivers of Hope Counseling Center LLC | Counselor | 43565 Ahlea Ln, South Riding, VA 20152-4800 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.