Organization
LUTHERAN FAMILY SERVICES OF VA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREIDA M KING (ACCOUNTING MANAGER)
(540) 774-7100
Entity
Organization
Contact information
Practice address
2609 MCVITTY RD, ROANOKE, VA 24018-3513
(540) 774-7100
(540) 774-1084
Mailing address
2609 MCVITTY RD, ROANOKE, VA 24018-3513
(540) 774-7100
(540) 774-1084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
272
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01024514
—
VA
Enumeration date
11/02/2006
Last updated
08/22/2020
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