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Organization
LIFE CONSTRUCTION MENTAL HEALTH SERVICES
Active
Organization
LIFE CONSTRUCTION MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUNICE BASS GILCHRIST RN, BSN, MS (EXECUTIVE DIRECTOR)
(804) 359-3737
Entity
Organization
Contact information
Practice address
3105 W MARSHALL ST, SUITE 114, RICHMOND, VA 23230-4729
(804) 359-3737
(804) 359-2266
Mailing address
3105 W MARSHALL ST, SUITE 114, RICHMOND, VA 23230-4729
(804) 359-3737
(804) 359-2266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010236878
—
VA
Enumeration date
08/09/2006
Last updated
06/18/2008
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