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General NPI Number Information
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NPI Number | 1508890351
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Entity Type | Organization
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Legal Business Name | TOTAL LIFE CLINICIANS, LLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | RT 4 & 20 SOUTH 2ND FLOOR
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City | ROCK CAVE
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State | WV
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Zip | 26234
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Country | US
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Telephone | 304-473-8988
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Fax | 304-472-9849
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | BUCKHANNON
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State | WV
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Zip | 26201-0129
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Country | US
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Telephone | 304-473-8988
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Fax | 304-472-9849
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Authorized Official
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Title or Position | OWNER
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Name | DR. GREENBRIER DAVID RALPH ALMOND
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Credential | M.D.
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Telephone | 304-473-8988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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