Provider Demographics
NPI:1497401418
Name:LIFE SOLUTIONS COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:LIFE SOLUTIONS COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-245-5109
Mailing Address - Street 1:410 OAK BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6334
Mailing Address - Country:US
Mailing Address - Phone:704-245-5109
Mailing Address - Fax:
Practice Address - Street 1:410 OAK BROOK DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6334
Practice Address - Country:US
Practice Address - Phone:704-245-5109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-28
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health