Organization
ASPEN LIFE COUNSELING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL MATTHEW BROWN MA, LMFT (CEO)
(804) 201-3506
Entity
Organization
Contact information
Practice address
4581 LIFESTYLE LN, MIDLOTHIAN, VA 23112-4807
(804) 201-3506
(804) 234-3400
Mailing address
13914 SAGEBROOK RD, MIDLOTHIAN, VA 23112-4228
(804) 201-3506
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
11/18/2020
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