Organization
LIVE BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONNELL PEARSON (OWNER)
(804) 691-8356
Entity
Organization
Contact information
Practice address
100 BRUNSWICK AVE, EMPORIA, VA 23847-2010
(804) 691-8356
Mailing address
1510 BELMEADOW CIR, EMPORIA, VA 23847-2702
(804) 691-8356
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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