Organization
TOTAL LIFE CLINICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREENBRIER ALMOND MD (OWNER)
(304) 924-9081
Entity
Organization
Contact information
Practice address
168 CHURCH STREET, CLAY, WV 25043
(304) 924-9081
Mailing address
PO BOX 129, BUCKHANNON, WV 26201-0129
(304) 473-8988
(304) 472-9849
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
10136
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810005285
—
WV
Enumeration date
03/27/2007
Last updated
08/22/2020
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