Provider Demographics
NPI:1528339231
Name:GUIDING LIVES, INC
Entity type:Organization
Organization Name:GUIDING LIVES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SAMARIA
Authorized Official - Middle Name:MELVINA
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:434-378-1306
Mailing Address - Street 1:4121 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-1670
Mailing Address - Country:US
Mailing Address - Phone:804-415-7606
Mailing Address - Fax:804-415-7606
Practice Address - Street 1:4121 CAMERON RD
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-1670
Practice Address - Country:US
Practice Address - Phone:804-415-7606
Practice Address - Fax:804-415-7606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1216101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty