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Contact Information

LIFE RECOVERY LLC
616 E MAIN ST
LEBANON, VA24266-4800
 Phone: 276-889-1954
 Fax: 276-889-4955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for LIFE RECOVERY LLC

NPI Number 1669537130
LBN Legal business name LIFE RECOVERY LLC
Authorized official JOANN MITCHELL - (ADMINISTRATOR OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/26/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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