NPIMap

Organization Active NPI

Life Services Inc

  • Mental Health Counselor
  • Richmond, VA
National Provider Identifier
1336573872
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1986-03-001 Issued in VA
Legal business name
LIFE SERVICES INC
Practice address
3816 Candlegrove CT
Richmond, VA 23223-1440
Phone
(866) 935-3314
Fax
(804) 329-9292
NPI assigned
Sep 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Mr. Eric Anthony Goode
Title
Executive Directer
Phone
(804) 869-7117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 1986-03-001 VA Primary

Addresses

Primary practice location

3816 Candlegrove CT
Richmond, VA 23223-1440

Mailing address

PO Box 603
Mechanicsville, VA 23111-0603
Phone (866) 935-3314

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1336573872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231110603",
            "telephone_number": "866-935-3314",
            "fax_number": "804-329-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 CANDLEGROVE CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231440",
            "telephone_number": "866-935-3314",
            "fax_number": "804-329-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-01",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "GOODE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTER",
        "authorized_official_telephone_number": "804-869-7117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "1986-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.