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Organization
LIFE REPAIR CENTER
Active
Organization
LIFE REPAIR CENTER
Active
Other names
Life Repair Center of Front Royal
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY PHILPOT LPC (OWNER/SOLE MEMBER)
(540) 823-6656
Entity
Organization
Contact information
Practice address
437A S ROYAL AVE FRNT ROYAL, FRONT ROYAL, VA 22630-3229
(540) 823-6656
Mailing address
437A S ROYAL AVE FRNT ROYAL, FRONT ROYAL, VA 22630-3229
(540) 823-6656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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