Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Living Life Supportive Services LLC

Organization Community/Behavioral Health Agency · NPI 1134958820

Living Life Supportive Services LLC is a Community/Behavioral Health Agency in Petersburg, Virginia. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 E Tabb St Ste 205
Petersburg, VA 23803-4560
Phone: (804) 536-5066
Fax: (202) 545-3413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1134958820
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Merrick — Owner · (804) 536-5066
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address20 E Tabb St Ste 205, Petersburg, VA 23803-4560

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