Provider Demographics
NPI:1457953010
Name:LIFE IN FOCUS COUNSELING LLC
Entity Type:Organization
Organization Name:LIFE IN FOCUS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CHANTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHEAU-BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-212-3687
Mailing Address - Street 1:414 SPRING ST APT 103
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2925
Mailing Address - Country:US
Mailing Address - Phone:540-212-3687
Mailing Address - Fax:
Practice Address - Street 1:414 SPRING ST APT 103
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2925
Practice Address - Country:US
Practice Address - Phone:540-212-3687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-09
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty