Provider Demographics
NPI:1033801337
Name:VICTOIRE A VIE LLC
Entity Type:Organization
Organization Name:VICTOIRE A VIE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CROLET
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:540-604-3505
Mailing Address - Street 1:2601 PRINCESS ANNE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-3254
Mailing Address - Country:US
Mailing Address - Phone:540-300-3319
Mailing Address - Fax:
Practice Address - Street 1:2601 PRINCESS ANNE ST STE 100
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-3254
Practice Address - Country:US
Practice Address - Phone:540-300-3319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty