Organization
LIFELINE COUNSELING ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PAYNE PETREY (VICE PRESIDENT)
(804) 257-9321
Entity
Organization
Contact information
Practice address
10305 MEMORY LN, SUITE 202, CHESTERFIELD, VA 23832-8815
(804) 748-2000
(804) 748-9098
Mailing address
10305 MEMORY LN, SUITE 202, CHESTERFIELD, VA 23832-8815
(804) 748-2000
(804) 748-9098
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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