Organization
ITS MY LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANI GATSON (CEO)
(757) 949-7186
Entity
Organization
Contact information
Practice address
3346 BANGOR CRES, CHESAPEAKE, VA 23321-4449
(757) 949-7186
Mailing address
3346 BANGOR CRES, CHESAPEAKE, VA 23321-4449
(757) 949-7186
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4070
DBHDS LICENSING NUMBER
VA
Enumeration date
08/05/2022
Last updated
08/05/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us