Life Space Therapy Services, PLLC
NPI 1083431571ActiveOrganization· Counselor, Professional· Midlothian, VA
Counselor, Professional in Midlothian, Virginia, registered in NPPES in September 2024. The authorized official on file is David Gamble, Lpc. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083431571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2024 |
| Last updated in NPPES | Sep 25, 2024 |
| Certified by provider | Sep 25, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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