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Organization

LIFE RECOVERY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANN MITCHELL (ADMINISTRATOR OWNER)
(276) 889-1954
Entity
Organization

Contact information

Practice address
616 E MAIN ST, LEBANON, VA 24266-4800
(276) 889-1954
(276) 889-4955
Mailing address
PO BOX 2336, LEBANON, VA 24266-2336
(276) 889-1954
(276) 889-4955

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician

Other

Enumeration date
12/26/2006
Last updated
09/11/2025
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