Organization
24 TO LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SPROUSE LMHC (OWNER)
(434) 832-9001
Entity
Organization
Contact information
Practice address
98-293 UALO ST APT V3, AIEA, HI 96701-4646
(434) 832-9001
Mailing address
98-293 UALO ST APT V3, AIEA, HI 96701-4646
(434) 832-9001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023666252
NPI
HI
01
—
1023666252
NONE
—
Enumeration date
06/24/2021
Last updated
06/24/2021
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