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LIFE SUPPORT MH COMMUNITY SUPPORT SERVICES
NPI 1295010189
Community/Behavioral Health in Danville, VA

Active since October 11, 2011CLIA 49D2313717 · Waiver
490 PINEY FOREST RD, DANVILLE, VA 24540(434) 728-2641 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Support Mh Community Support Services NPPES

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

LIFE SUPPORT MH COMMUNITY SUPPORT SERVICES (NPI 1295010189) is a healthcare organization registered as a community/behavioral health in Danville, Virginia and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through November 5, 2026 and lists Kimberly Harper Gibson, Owner, as its authorized official.

NPPES Registry Identity

NPI1295010189
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFE SUPPORT MH COMMUNITY SUPPORT SERVICES
Location Address490 PINEY FOREST RDDanville, VA 24540-4060
Mailing Address349 Piney Forest Rd, Suite ADanville, VA 24540-4121 · (434) 728-2641
Phone(434) 728-2641
Organization SubpartNo
Authorized OfficialKimberly Harper GibsonOwner · (434) 728-2641
Enumeration DateOctober 11, 2011
Last NPPES UpdateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1295010189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
490 PINEY FOREST RD, Danville, VA 24540
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2313717

Life Support, LLC · Danville, VA
Active · expires Nov 5, 2026
CLIA Number49D2313717
Laboratory TypeBehavioral Health Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorKiimberly H. Gibson
Laboratory Phone(434) 797-1094
Laboratory LocationLife Support, LLC490 Piney Forest Road, Danville, VA 24540
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

REVIVE RECOVERY CENTER
Counselor (Addiction (Substance Use Disorder))
490 PINEY FOREST RD
DANVILLE, VA 24540
Danville City (434) 728-2641
PREMIER MENTAL HEALTH SUPPORT
Clinic/Center (Adult Mental Health)
490 PINEY FOREST RD
DANVILLE, VA 24540
Danville City (434) 797-1094
THOMAS DALE TRAMMELL LMHP-S
Social Worker (Clinical)
490 PINEY FOREST RD
DANVILLE, VA 24540
Danville City (434) 797-1094
JENAY NICOLE SINGLETARY LMHP-R
Counselor (Professional)
490 PINEY FOREST RD
DANVILLE, VA 24540
Danville City (434) 797-1094

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Support Mh Community Support Services's NPI number?

The NPI number for Life Support Mh Community Support Services is 1295010189. It was assigned to this organization in the NPPES registry on October 11, 2011.

Where is Life Support Mh Community Support Services located?

Life Support Mh Community Support Services is located at 490 Piney Forest Rd, Danville, VA 24540. The listed phone number is (434) 728-2641.

What is Life Support Mh Community Support Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Life Support Mh Community Support Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2313717) is associated with this NPI, valid through November 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Support Mh Community Support Services was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.