| Organization Name: | LIFE ENRICHMENT CENTER OF VIRGINIA |
| NPI Number: | 1063833606 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRITNEY CHACEY (OWNER) |
| Mailing Address: | 9409 Hull Street Rd Ste D1 North Chesterfield |
| State: | VA US |
| Postal Code: | 232361200 |
| Phone Number: | 8047452225 |
| Fax Number: | 8047452242 |
| NPI Enumeration Date: | 12/28/2013 |
| NPI Last Update Date: | 12/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904006615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |