Provider Demographics
NPI:1508890351
Name:TOTAL LIFE CLINICIANS, LLC
Entity Type:Organization
Organization Name:TOTAL LIFE CLINICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREENBRIER
Authorized Official - Middle Name:DAVID RALPH
Authorized Official - Last Name:ALMOND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-473-8988
Mailing Address - Street 1:PO BOX 129
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-0129
Mailing Address - Country:US
Mailing Address - Phone:304-473-8988
Mailing Address - Fax:304-472-9849
Practice Address - Street 1:RT 4 & 20 SOUTH
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ROCK CAVE
Practice Address - State:WV
Practice Address - Zip Code:26234
Practice Address - Country:US
Practice Address - Phone:304-473-8988
Practice Address - Fax:304-472-9849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)