Active NPI
Life Stages Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Martinsville, VA
National Provider Identifier
1881987048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LIFE STAGES INC.
- Practice address
- 1079 Spruce St
Suite a
Martinsville, VA 24112-4527 - Phone
- (276) 634-8683
- NPI assigned
- May 20, 2011
- Last updated
- Nov 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Torey Morris
- Title
- Director
- Phone
- (732) 330-8683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
1079 Spruce St
Suite a
Martinsville, VA 24112-4527
Mailing address
PO Box 3066
Martinsville, VA 24115-3066
National Provider Directory
National Provider DirectoryLocations
1079 Spruce St
Ste B
Martinsville, VA 24112
Phone (276) 634-8363
316 Brown St
Martinsville, VA 24112
Phone (276) 638-1003
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Primary Care Nurse Practitioner
- Lumberton, NC
- NPI 1780131649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700524800000",
"number": "1881987048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3066",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241153066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 SPRUCE ST",
"address_2": "SUITE A",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124527",
"telephone_number": "276-634-8683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE STAGES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-20",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "TOREY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "732-330-8683",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.