LGBT LIFE CENTER NPI 1497047237

NPI Information

LGBT LIFE CENTER is a mental health counselor in Norfolk, VA. LGBT LIFE CENTER NPI is 1497047237. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Candii.

The provider's business location address is:

222 W 21ST ST # F-308
NORFOLK, VA
ZIP 23517-200
Phone: (757) 640-0929
Fax: (757) 622-8932

The provider's authorized official is Kim Richardson .
The authorized official title is Billing/credentialing and has the following contact phone number (757) 907-2567.

The enumeration date for this NPI number is 5/12/2011 and was last updated on 7/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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