Organization
LIFELINE MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN NICOLE BOYKIN LPC (CLINICIAN/OWNER)
(804) 204-9255
Entity
Organization
Contact information
Practice address
5403 JEFFERSON ST, RICHMOND, VA 23223-6007
(804) 204-9255
Mailing address
440 MONTICELLO AVE STE 1802, NORFOLK, VA 23510-2670
(804) 204-9255
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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