Provider Demographics
NPI:1700837143
Name:LIFE STRATEGIES COUNSELING SERVICES INC.
Entity Type:Organization
Organization Name:LIFE STRATEGIES COUNSELING SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAMLET
Authorized Official - Middle Name:DON
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:II
Authorized Official - Credentials:LICSW
Authorized Official - Phone:304-255-7526
Mailing Address - Street 1:PO BOX 5084
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-7500
Mailing Address - Country:US
Mailing Address - Phone:304-255-7526
Mailing Address - Fax:
Practice Address - Street 1:120 HARPER CT
Practice Address - Street 2:
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2650
Practice Address - Country:US
Practice Address - Phone:304-255-7526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009399811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVSP03501Medicare ID - Type Unspecified