Organization
LOVE OF LYFE LLC
Active
Other names
Love of Lyfe LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARAE LOCKER (ADMIN)
(757) 202-2321
Entity
Organization
Contact information
Practice address
5295 GREENWICH RD STE 105, VIRGINIA BEACH, VA 23462-6046
(757) 840-6787
(757) 840-6788
Mailing address
5295 GREENWICH RD STE 105, VIRGINIA BEACH, VA 23462-6046
(757) 840-6787
(757) 840-6788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
10/10/2024
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