Organization
LIFE CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS MOYER (CEO)
(276) 806-4418
Entity
Organization
Contact information
Practice address
4041 TAYLOR RD STE G, CHESAPEAKE, VA 23321-5525
(276) 806-4418
Mailing address
4208 HELEN ST, SUFFOLK, VA 23435-2138
(276) 806-4418
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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