1609433291 NPI number — LIFE INTERRUPTED COUNSELING SERVICES

Table of content: (NPI 1609433291)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609433291 NPI number — LIFE INTERRUPTED COUNSELING SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIFE INTERRUPTED COUNSELING SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609433291
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/11/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
516 HIGHLAND RIDGE PT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLOVER
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29710-5507
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
980-322-3466
Provider Business Mailing Address Fax Number:
877-766-6203

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4045 N TRYON ST STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
980-404-1069
Provider Business Practice Location Address Fax Number:
877-766-6203
Provider Enumeration Date:
05/20/2019

Additional Information

Authorized Official

Authorized Official Last Name:
KEITH
Authorized Official First Name:
KESHIA
Authorized Official Middle Name:
DONUEL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
980-404-1069

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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