Active NPI
Life Coach Community Services of Virginia, Inc.
- Community/Behavioral Health Agency
- Richmond, VA
National Provider Identifier
1982935359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 788
- Legal business name
- LIFE COACH COMMUNITY SERVICES OF VIRGINIA, INC.
- Practice address
- 180 Belt Blvd
Richmond, VA 23224-1204 - Phone
- (804) 230-4760
- Fax
- (804) 230-4766
- NPI assigned
- Jan 24, 2010
- 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. Stephen Alexander Parson Jr.
- Title
- Ceo
- Phone
- (804) 230-4760
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 788 | VA | Primary |
| Community/Behavioral Health Agency | 251S00000X | 788-17-001 | VA |
Addresses
Primary practice location
180 Belt Blvd
Richmond, VA 23224-1204
Mailing address
PO Box 74100
Richmond, VA 23236-0002
Phone (804) 230-4760
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1982935359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232360002",
"telephone_number": "804-230-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 BELT BLVD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232241204",
"telephone_number": "804-230-4760",
"fax_number": "804-230-4766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE COACH COMMUNITY SERVICES OF VIRGINIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-24",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "PARSON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "ALEXANDER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "804-230-4760",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "788",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "VA",
"license": "788-17-001",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.