MAXLIFE THERAPEUTIC SOLUTIONS INC NPI 1063876407

NPI Information

NPI: 1063876407
Provider Name: MAXLIFE THERAPEUTIC SOLUTIONS INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
204B PITCARIN WAY
SUITE #1
AUGUSTA, GA
ZIP 30909
Phone: (912) 319-7250
Get Directions

MAXLIFE THERAPEUTIC SOLUTIONS INC is a professional counselor in Augusta, GA. MAXLIFE THERAPEUTIC SOLUTIONS INC NPI is 1063876407. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

204B PITCARIN WAY
SUITE #1
AUGUSTA, GA
ZIP 30909-766
Phone: (912) 319-7250

The provider's authorized official is Carolyn Waller .
The authorized official title is Chief Executive Officer and has the following contact phone number (404) 867-3093.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	251S00000X	Community/Behavioral Health		No
3	101YP2500X	Counselor	Professional	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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