Provider Demographics
NPI:1447627179
Name:L&R OF CHESTERFIELD
Entity type:Organization
Organization Name:L&R OF CHESTERFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:NASHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-921-6359
Mailing Address - Street 1:5912 HARBOUR PARK DR STE B
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2135
Mailing Address - Country:US
Mailing Address - Phone:804-921-6359
Mailing Address - Fax:804-744-2961
Practice Address - Street 1:5912 HARBOUR PARK DR STE B
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2135
Practice Address - Country:US
Practice Address - Phone:804-921-6359
Practice Address - Fax:804-744-2961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-28
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
VAOLIS2235320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities