JL Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1552-03-001 Issued in VA

Legal business name

JL SUPPORT SERVICES, LLC

Practice address

1907 Lazenbury Rd
Bedford, VA 24523-6224

Phone

(540) 587-0156

Fax

(540) 587-0156

NPI assigned

Feb 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. Juli Larson

Title

Chief Executive Officer

Phone

(540) 587-0156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1427355304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 LAZENBURY RD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245236224",
            "telephone_number": "540-587-0156",
            "fax_number": "540-587-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 LAZENBURY RD",
            "city": "BEDFORD",
            "state": "VA",
            "postal_code": "245236224",
            "telephone_number": "540-587-0156",
            "fax_number": "540-587-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "JULI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "540-587-0156",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1552-03-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Gwendolyn Hutchind, CPM, LM
• Wayne Hutchison, MD
• Peggy P Ireson, FNP
• Jared P Quesenberry, OD, PLLC
• Jennifer Alston-Sako, DDS P.C.
• Johnson Health Center
• Johnson Health Center
• Johnson Health Center
• Stephen M Johnson, M.D.
• Annmarie Jones, NP

• Community/Behavioral Health Agency in Bedford, VA
• Providers in Bedford, 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 Feb 11, 2011; 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.