NPIMap

Organization Active NPI

Recovering Life PC

  • Clinical Psychologist
  • Lebanon, VA
National Provider Identifier
1447309828
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RECOVERING LIFE PC
Practice address
750 East Main Street
Lebanon, VA 24266-2045
Phone
(276) 889-1954
Fax
(276) 889-4955
NPI assigned
Jan 9, 2007
Last updated
Jul 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Mrs. Wilma Lois McGlothlin
Title
President/Owner, Recovering Life PC
Phone
(276) 889-1954

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary
Clinical Social Worker 1041C0700X
Psychiatry Physician 2084P0800X

Addresses

Primary practice location

750 East Main Street
Lebanon, VA 24266-2045

Mailing address

PO Box 2045
Lebanon, VA 24266-2045
Phone (276) 889-1954

Other identifiers 1

IdentifierTypeStateIssuer
1447309828MedicaidVA

National Provider Directory

National Provider Directory

Locations

1190 E Main St
Ste 1
Lebanon, VA 24266
Phone (276) 889-1954

427 N Main St
Marion, VA 24354
Phone (276) 782-9987

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1447309828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662045",
            "telephone_number": "276-889-1954",
            "fax_number": "276-889-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST MAIN STREET",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242662045",
            "telephone_number": "276-889-1954",
            "fax_number": "276-889-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERING LIFE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "MCGLOTHLIN",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER, RECOVERING LIFE PC",
        "authorized_official_telephone_number": "276-889-1954",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447309828",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.