Provider Demographics
NPI:1164508511
Name:LIFE MANAGEMENT CONSULTANTS
Entity Type:Organization
Organization Name:LIFE MANAGEMENT CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:318-329-3933
Mailing Address - Street 1:PO BOX 2707
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71207-2707
Mailing Address - Country:US
Mailing Address - Phone:318-329-3933
Mailing Address - Fax:318-322-1134
Practice Address - Street 1:2404 DUVAL DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-2986
Practice Address - Country:US
Practice Address - Phone:318-329-3933
Practice Address - Fax:318-322-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA23841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty