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Organization
PURE LIFE COUNSELING AND TESTING
Active
Organization
PURE LIFE COUNSELING AND TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELBY COOK MITCHELL LPC (OWNEER)
(276) 206-3040
Entity
Organization
Contact information
Practice address
183 RIGBY ST, MARION, VA 24354-6342
(276) 206-3040
(540) 527-9810
Mailing address
PO BOX 1791, MARION, VA 24354-8689
(276) 206-3040
(540) 527-9810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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