Life Support MH Community Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE SUPPORT MH COMMUNITY SUPPORT SERVICES

Practice address

490 Piney Forest Rd
Danville, VA 24540-4060

Phone

(434) 728-2641

NPI assigned

Oct 11, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kimberly Harper Gibson, RN

Title

Owner

Phone

(434) 728-2641

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Loraine Bixby, LCSW

  • Clinical Social Worker
  • Danville, VA
  • NPI 1467703108
  NPD
• Whitney Anne Garcia-Mata, MS BCBA LBA

  • Behavior Analyst
  • Martinsville, VA
  • NPI 1366011579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1295010189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 PINEY FOREST RD",
            "address_2": "SUITE A",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404121",
            "telephone_number": "434-728-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 PINEY FOREST RD",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404060",
            "telephone_number": "434-728-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SUPPORT MH COMMUNITY SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "HARPER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-728-2641",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenny E Lewis
• Lisa Bradner Lewis, NP-C
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• Liberty Healthcare Group, LLC
• Life Push, LLC
• Shearin Light
• Lighted Pathway Danville, LLC
• Lighthouse Youth Services LLC.
• Lily Chiropractic Health Center
• Limitless Growth

• Community/Behavioral Health Agency in Danville, VA
• Providers in Danville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.