Life Impact LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE IMPACT LLC

Practice address

8325 Finworth LN
North Chesterfield, VA 23237-3872

Phone

(804) 549-1585

Fax

(804) 562-3736

NPI assigned

Nov 1, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Annette SmithNPI 1558133280

Title

Excutive Officer

Phone

(804) 325-7479

Specialties & licenses 1

Addresses

Practitioners 1

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

• Annette Smith

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1558133280
  NPD Authorized official

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1790558690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 FINWORTH LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373872",
            "telephone_number": "804-549-1585",
            "fax_number": "804-562-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 FINWORTH LN",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373872",
            "telephone_number": "804-549-1585",
            "fax_number": "804-562-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IMPACT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "EXCUTIVE OFFICER",
        "authorized_official_telephone_number": "804-325-7479",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renada Young Lewis, DOULA
• Ronnell Fercil Lewis, LCSW
• Takeria Lewis
• Dianna Cheryl Lievano, PA-C
• Life Enrichment Center of Virginia
• Life Services Inc.
• Life Touch Services, LLC
• Lifespan Behavioral Services PLC
• Light House Day Support Services LLC
• Lighthouse Behavioral Health Center, LLC

• Community/Behavioral Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, 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 Nov 1, 2023; 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.