Organization
LIFE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ANTHONY GOODE (EXECUTIVE DIRECTER)
(804) 869-7117
Entity
Organization
Contact information
Practice address
3816 CANDLEGROVE CT, RICHMOND, VA 23223-1440
(866) 935-3314
(804) 329-9292
Mailing address
PO BOX 603, MECHANICSVILLE, VA 23111-0603
(866) 935-3314
(804) 329-9292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1986-03-001
VA
Other
Enumeration date
09/01/2013
Last updated
11/16/2017
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