Organization
LIVE LIFE FULL LLC
Active
Organization
LIVE LIFE FULL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE JANES YATES (OWNER)
(804) 933-8357
Entity
Organization
Contact information
Practice address
7277 HANOVER GREEN DR STE A2, MECHANICSVILLE, VA 23111-1764
(804) 933-8357
(804) 607-6055
Mailing address
3812 STOCKTON ST, RICHMOND, VA 23224-3332
(804) 933-8357
(804) 607-6055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/30/2017
Last updated
07/14/2026
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