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LIFES GOOD STAYHERE NPI 1942986047


NPI Information

NPI: 1942986047
Provider Name: LIFES GOOD STAYHERE
Classification: Psychologist - 103TM1800X
Entity Type: Organization

Specialization: Intellectual and Developmental Disabilities

Address:
1048 SCOTCH MEADOWS LOOP
MONROE, NC
ZIP 28110
Phone: (704) 441-7205
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LIFES GOOD STAYHERE is an intellectual and developmental disabilities in Monroe, NC. LIFES GOOD STAYHERE NPI is 1942986047. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1048 SCOTCH MEADOWS LOOP
MONROE, NC
ZIP 28110-861
Phone: (704) 441-7205

The provider's authorized official is Keyshia Fuller .
The authorized official title is President and has the following contact phone number (704) 441-7205.

The enumeration date for this NPI number is 6/23/2023 and was last updated on 6/23/2023.


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
1103TM1800XPsychologistIntellectual and Developmental DisabilitiesYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.