Provider Demographics
NPI:1235825860
Name:LIFE CHALLENGES OF THE CAROLINAS LLC
Entity Type:Organization
Organization Name:LIFE CHALLENGES OF THE CAROLINAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RONNIKEA
Authorized Official - Middle Name:
Authorized Official - Last Name:EICHELBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-614-8603
Mailing Address - Street 1:1017 VANCOUVER LN
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-1073
Mailing Address - Country:US
Mailing Address - Phone:704-614-8603
Mailing Address - Fax:
Practice Address - Street 1:1017 VANCOUVER LN
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-1073
Practice Address - Country:US
Practice Address - Phone:704-614-8603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health