Life Foundations Wellness And Supportive Counseling Services, Llc.

LBN: Life Foundations Wellness And Supportive Counseling Services, Llc.
Life Foundations Wellness And Supportive Counseling Services, Llc. is an health care organization with primary practice located at 1910 Sedwick Rd Bldg 400 , Durham NC 27713-7807. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty. Life Foundations Wellness And Supportive Counseling Services, Llc. can be contacted via phone (919) 949-8539, or through Urquhart, Dietrix via phone (919) 949-8539.

Contact Information

Primary practice address
1910 Sedwick Rd Bldg 400 Durham NC 27713-7807
Phone: (919) 949-8539
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Urquhart, Dietrix
Phone: (919) 949-8539

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1622 North Carolina
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1622 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1622 North Carolina

Profile Details

NPI number 1396042164
LBN Legal business name Life Foundations Wellness And Supportive Counseling Services, Llc.
DBA Doing business as
Authorized official Urquhart, Dietrix
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2011
Last updated Jun 4th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396042164 NPPES
North Carolina MEDICAID 6008457

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