Provider Demographics
NPI:1629353305
Name:LIFECYCLE LLC
Entity Type:Organization
Organization Name:LIFECYCLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-234-6979
Mailing Address - Street 1:PO BOX 26209
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29616-1209
Mailing Address - Country:US
Mailing Address - Phone:864-234-6979
Mailing Address - Fax:864-281-0553
Practice Address - Street 1:14 WHITSETT ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3137
Practice Address - Country:US
Practice Address - Phone:864-234-6979
Practice Address - Fax:864-281-0553
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESTATE PLANNING CONSULTANTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty