Organization
LIFE CONSTRUCTION MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EUNICE BASS GILCHRIST RN, BSN, MS (EXECUTIVE DIRECTOR)
(804) 359-3737
Entity
Organization
Contact information
Practice address
3105 W MARSHALL ST, SUITE 114, RICHMOND, VA 23230-4729
(804) 359-3737
(804) 359-2266
Mailing address
3105 W MARSHALL ST, SUITE 114, RICHMOND, VA 23230-4729
(804) 359-3737
(804) 359-2266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
721
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010236878
—
VA
Enumeration date
08/09/2006
Last updated
06/18/2008
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