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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