Organization
LIFE WORKS PROFESSIONAL COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL D MYERS LPC (OWNER OF SINGLE MEMBER LLC)
(434) 990-1744
Entity
Organization
Contact information
Practice address
8767 SEMINOLE TRL STE 101, RUCKERSVILLE, VA 22968-3494
(434) 990-1744
(434) 939-9401
Mailing address
8767 SEMINOLE TRL STE 101, RUCKERSVILLE, VA 22968-3494
(434) 990-1744
(434) 939-9401
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/11/2019
Last updated
10/01/2024
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