Organization
PURE LIFE COUNSELING AND TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELBY COOK MITCHELL LPC (OWNEER)
(276) 206-3040
Entity
Organization
Contact information
Practice address
183 RIGBY ST, MARION, VA 24354-6342
(276) 206-3040
(540) 527-9810
Mailing address
PO BOX 1791, MARION, VA 24354-8689
(276) 206-3040
(540) 527-9810
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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