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General NPI Number Information
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NPI Number | 1205289824
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Entity Type | Organization
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Legal Business Name | L&G SUPPORT AND RESOURCES CO.
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 159 EXECUTIVE DR STE H
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City | DANVILLE
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State | VA
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Zip | 24541-4160
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Country | US
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Telephone | 434-688-7027
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Fax | 434-549-5227
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Provider Business Mailing Address
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Address Line | 159 EXECUTIVE DR STE H
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City | DANVILLE
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State | VA
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Zip | 24541-4160
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Country | US
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Telephone | 434-688-7027
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Fax | 434-549-5227
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Authorized Official
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Title or Position | CEO
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Name | DAVID LAMONT LEE
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Credential |
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Telephone | 434-549-5205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 216605001
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License Number State | VA
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