Provider Demographics
NPI:1023395910
Name:THE LIFE SKILLS SCHOOL, LTD
Entity Type:Organization
Organization Name:THE LIFE SKILLS SCHOOL, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCSW, LMHC
Authorized Official - Phone:718-897-5822
Mailing Address - Street 1:9730 QUEENS BLVD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-3245
Mailing Address - Country:US
Mailing Address - Phone:718-897-5822
Mailing Address - Fax:718-459-0382
Practice Address - Street 1:9730 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-3245
Practice Address - Country:US
Practice Address - Phone:718-897-5822
Practice Address - Fax:718-459-0382
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251V00000XAgenciesVoluntary or Charitable