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LIVING LIFE SUPPORTIVE SERVICES LLC
NPI 1134958820
Clinic/Center - Rehabilitation, Substance Use Disorder in Petersburg, VA

Active since July 30, 2024
20 E TABB ST STE 205, PETERSBURG, VA 23803(804) 536-5066(202) 545-3413 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Living Life Supportive Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING LIFE SUPPORTIVE SERVICES LLC (NPI 1134958820) is a healthcare organization registered as a rehabilitation, substance use disorder in Petersburg, Virginia and active in the NPI registry since July 2024. The organization lists Cassandra Merrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1134958820
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameLIVING LIFE SUPPORTIVE SERVICES LLC
Location Address20 E TABB ST STE 205Petersburg, VA 23803-4560
Mailing Address20 E Tabb St Ste 205Petersburg, VA 23803-4560 · (804) 536-5066 · Fax (202) 545-3413
Phone(804) 536-5066
Fax(202) 545-3413
Organization SubpartNo
Authorized OfficialCassandra MerrickOwner · (804) 536-5066
Enumeration DateJuly 30, 2024
NPPES CertifiedJuly 30, 2024
✔ NPI 1134958820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
20 E TABB ST STE 205, Petersburg, VA 23803
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Other Identifiers 1

Medicaid1912646142VA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARSHEIA JONES
Counselor (Professional)
20 E TABB ST STE 205
PETERSBURG, VA 23803
Dinwiddie County (804) 312-7469
TALK IT OUT COUNSELING SERVICES LLC
Community/Behavioral Health
20 E TABB ST STE 205
PETERSBURG, VA 23803
Dinwiddie County (804) 536-5066
CASSANDRA MERRICK LPC
Counselor (Professional)
20 E TABB ST STE 205
PETERSBURG, VA 23803
Dinwiddie County (804) 536-5066

Frequently Asked Questions

What is LIVING LIFE SUPPORTIVE SERVICES LLC's NPI number?

The NPI number assigned to this healthcare provider is 1134958820, enumerated as an "organization" on July 30, 2024.

Where is the provider located?

The provider is located at 20 E TABB ST STE 205 PETERSBURG, VA 23803 and the phone number is (804) 536-5066.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

What insurance does LIVING LIFE SUPPORTIVE SERVICES LLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.