Whalio Doctors

NPI 1083431571

Life Space Therapy Services, PLLC

Organisation Professional Counselor Midlothian, VA

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
Behavioral Health & Social Service Providers Taxonomy 101YP2500X

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.