Organization Name: | MORE 2 LYFE, INC |
NPI Number: | 1134515216 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STACEY BAGBY (CEO) |
Mailing Address: | 1408 Almondberry Pl Henrico |
State: | VA US |
Postal Code: | 232314793 |
Phone Number: | 8042223924 |
Fax Number: | 8042223924 |
NPI Enumeration Date: | 04/15/2015 |
NPI Last Update Date: | 04/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |