Provider Demographics
NPI:1639810146
Name:LIFE ENRICHMENT: INDIVIDIUAL, FAMILY & BUSINESS SOLUTIONS LLC
Entity Type:Organization
Organization Name:LIFE ENRICHMENT: INDIVIDIUAL, FAMILY & BUSINESS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ANITA
Authorized Official - Last Name:REID
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:216-280-0161
Mailing Address - Street 1:3875 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2335
Mailing Address - Country:US
Mailing Address - Phone:216-280-0161
Mailing Address - Fax:
Practice Address - Street 1:4568 MAYFIELD RD STE 208
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-4050
Practice Address - Country:US
Practice Address - Phone:216-280-0161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty