Organization
ENERGY FOR LIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA J CLARKE PSYD. (CEO, OWNER)
(757) 696-2370
Entity
Organization
Contact information
Practice address
2600 BROWNSTONE CIR, WILLIAMSBURG, VA 23185-8321
(757) 696-2370
Mailing address
2600 BROWNSTONE CIR, WILLIAMSBURG, VA 23185-8321
(757) 696-2370
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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