Refuel Life Trauma Center, Llc

LBN: Refuel Life Trauma Center, Llc
Refuel Life Trauma Center, Llc is an health care organization with primary practice located at 100 Sabal Palm Ln Apt 303 , Chesapeake VA 23320-1734. The organization recently has 5 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Refuel Life Trauma Center, Llc can be contacted via phone (757) 288-8794, or through Murphy, Patrice Danielle via phone (757) 453-4110.

Contact Information

Primary practice address
100 Sabal Palm Ln Apt 303 Chesapeake VA 23320-1734
Phone: (757) 288-8794
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Murphy, Patrice Danielle LPC, NCC
Phone: (757) 453-4110

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1518732965
LBN Legal business name Refuel Life Trauma Center, Llc
DBA Doing business as
Authorized official Murphy, Patrice Danielle LPC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2023
Last updated Nov 15th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518732965 NPPES
Virginia Other 1629719786 INDIVIDUAL NNPI TYPE 1

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