Provider Demographics
NPI:1558820498
Name:LIFE SOLUTIONS SOUTH
Entity Type:Organization
Organization Name:LIFE SOLUTIONS SOUTH
Other - Org Name:LIFE SOLUTIONS SOUTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HUMAN RESOURCE SPECIALIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-236-3028
Mailing Address - Street 1:2728 EUCLID AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2429
Mailing Address - Country:US
Mailing Address - Phone:216-529-4289
Mailing Address - Fax:800-901-0720
Practice Address - Street 1:2728 EUCLID AVE STE 400
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2429
Practice Address - Country:US
Practice Address - Phone:216-539-2410
Practice Address - Fax:800-901-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health