Provider Demographics
NPI:1952867509
Name:CONFIDENT LIVING HOME THERAPY CONSULTING LLC
Entity Type:Organization
Organization Name:CONFIDENT LIVING HOME THERAPY CONSULTING LLC
Other - Org Name:CONFIDENT LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MIZZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-351-5824
Mailing Address - Street 1:8906 W BROAD ST STE F
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-5827
Mailing Address - Country:US
Mailing Address - Phone:804-351-5824
Mailing Address - Fax:844-600-2797
Practice Address - Street 1:8906 W BROAD ST STE F
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-5827
Practice Address - Country:US
Practice Address - Phone:804-351-5824
Practice Address - Fax:844-600-2797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty