LIFE SUPPORT THERAPY SERVICES LLC NPI 1194175497

NPI Information

  • NPI: 1194175497
  • Provider Name: LIFE SUPPORT THERAPY SERVICES LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4035 NORTHPOINTE DR UNIT B
    ZANESVILLE, OH
    ZIP 43701
  • Phone: (740) 487-1768

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NPI Details

LIFE SUPPORT THERAPY SERVICES LLC is a mental health counselor in Zanesville, OH. LIFE SUPPORT THERAPY SERVICES LLC NPI is 1194175497. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4035 NORTHPOINTE DR UNIT B
ZANESVILLE, OH
ZIP 43701-738
Phone: (740) 487-1768
Fax: (740) 870-0086

The provider's authorized official is Jacquie Kirkbride .
The authorized official title is Managing Partner and has the following contact phone number (740) 487-1768.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 9/10/2024.

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 License Number License State Primary
1101YM0800XCounselorMental HealthYes
2101YP2500XCounselorProfessionalNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11194175497MEDICAIDOHIO

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: 3/30/2025

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