Organization Active NPI

Life Stages Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Martinsville, VA
National Provider Identifier
1881987048
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.