Provider Demographics
NPI:1003444118
Name:LIFE WITHOUT LIMITS, INC.
Entity Type:Organization
Organization Name:LIFE WITHOUT LIMITS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NOSHIMA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DARDEN-TABB
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:919-539-9895
Mailing Address - Street 1:841 OXEN CIR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-9165
Mailing Address - Country:US
Mailing Address - Phone:919-539-9895
Mailing Address - Fax:
Practice Address - Street 1:1002 VANDORA SPRINGS RD STE 117
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-3546
Practice Address - Country:US
Practice Address - Phone:919-539-9895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty