Provider Demographics
NPI:1437480852
Name:FAMILY LIFE MATTERS, INC.
Entity Type:Organization
Organization Name:FAMILY LIFE MATTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:STOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:704-408-9903
Mailing Address - Street 1:3719 WENDWOOD LANE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211
Mailing Address - Country:US
Mailing Address - Phone:704-408-9903
Mailing Address - Fax:704-366-5350
Practice Address - Street 1:810 TYVOLA ROAD
Practice Address - Street 2:SUITE 130 HIGHLAND BUSINESS PARK
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217
Practice Address - Country:US
Practice Address - Phone:704-408-9903
Practice Address - Fax:704-366-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty