Organization
UNIVERSAL LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD CALVIN BURTON BA,CSAC (CEO)
(804) 281-8959
Entity
Organization
Contact information
Practice address
4609 W BROAD ST, SUITE A2, RICHMOND, VA 23230-3205
(804) 218-8959
(804) 355-5420
Mailing address
4609 W BROAD ST, SUITE A2, RICHMOND, VA 23230-3205
(804) 218-8959
(804) 355-5420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
04/21/2013
Last updated
04/21/2013
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