| NPI | 1932830650 |
|---|---|
| Doing Business As | LIFESONG HEALTH |
| Entity Type | Organization |
| Authorized Contact | FAWN O WORKMAN Owner, Nurse Practitioner 434-260-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-03-11 |