NPI 1083431571
Life Space Therapy Services, PLLC
Practice location
- Address
- 14107 Old Fort Dr, Midlothian, VA 23113-3948
- Phone
- (540) 753-0094
Authorised official
- Name
- David Gamble
- Title
- Lpc
- Phone
- (540) 753-0094
Registered specialties
Professional Counselor
Primary
Registry record
- NPI
- 1083431571
- Entity type
- Organization
- NPI issued
- 25 Sep 2024
- Record last updated
- 25 Sep 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.