Organization
LIVE LIFE FULL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JANES YATES (OWNER)
(804) 939-9904
Entity
Organization
Contact information
Practice address
116 E BLAKE LN, RICHMOND, VA 23224-1914
(804) 939-9904
Mailing address
116 E BLAKE LN, RICHMOND, VA 23224-1914
(804) 939-9904
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
01/21/2026
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