Provider Demographics
NPI:1679156483
Name:LIFE AFTER THE STORM LLC
Entity type:Organization
Organization Name:LIFE AFTER THE STORM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTHONY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-271-7136
Mailing Address - Street 1:809 ABERDEEN RD UNIT 9568
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23670-1219
Mailing Address - Country:US
Mailing Address - Phone:757-271-7136
Mailing Address - Fax:949-561-4944
Practice Address - Street 1:314 VISTA POINT DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5342
Practice Address - Country:US
Practice Address - Phone:757-271-7136
Practice Address - Fax:949-561-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)