Provider Demographics
NPI:1780833160
Name:LIFE-WORKS COUNSELING, INC.
Entity Type:Organization
Organization Name:LIFE-WORKS COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:ED S, LPC
Authorized Official - Phone:540-450-0124
Mailing Address - Street 1:214 S BRADDOCK ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-4043
Mailing Address - Country:US
Mailing Address - Phone:540-450-0124
Mailing Address - Fax:540-450-0124
Practice Address - Street 1:214 S BRADDOCK ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-4043
Practice Address - Country:US
Practice Address - Phone:540-450-0124
Practice Address - Fax:540-450-0124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002746261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health