Provider Demographics
NPI:1689627432
Name:LIFECYCLES LLC
Entity Type:Organization
Organization Name:LIFECYCLES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRASCH
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:828-315-9950
Mailing Address - Street 1:333 2ND ST NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-4904
Mailing Address - Country:US
Mailing Address - Phone:828-315-9950
Mailing Address - Fax:828-322-6305
Practice Address - Street 1:333 2ND ST NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-4904
Practice Address - Country:US
Practice Address - Phone:828-315-9950
Practice Address - Fax:828-322-6305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC853106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC131K7OtherBCBSNC
NCC1547OtherMEDCOST
NC2108093OtherCIGNA
NC6105037Medicaid