Provider Demographics
NPI:1508176462
Name:LIFEFORCE OPPORTUNITY INC
Entity Type:Organization
Organization Name:LIFEFORCE OPPORTUNITY INC
Other - Org Name:CAREEDUCATIONOPPORTUNITY INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LINZY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-492-7187
Mailing Address - Street 1:5601 BRIDGE ST STE 300
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-2355
Mailing Address - Country:US
Mailing Address - Phone:817-492-7187
Mailing Address - Fax:682-224-0965
Practice Address - Street 1:5601 BRIDGE ST STE 300
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-2355
Practice Address - Country:US
Practice Address - Phone:817-492-7187
Practice Address - Fax:682-224-0965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10641101YA0400X
TX5813101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty