Provider Demographics
NPI:1972285609
Name:EVERY AGE EVERY STAGE LLC
Entity Type:Organization
Organization Name:EVERY AGE EVERY STAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS. OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LANA
Authorized Official - Middle Name:DRANEY
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-467-1012
Mailing Address - Street 1:8018 HAMPTON VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23832-2018
Mailing Address - Country:US
Mailing Address - Phone:804-467-1012
Mailing Address - Fax:
Practice Address - Street 1:2820 WATERFORD LAKE DR STE 100
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-3994
Practice Address - Country:US
Practice Address - Phone:804-562-7117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVERY AGE EVERY STAGE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty