Provider Demographics
NPI:1013785096
Name:INFINITE LIFESTYLE SOLUTIONS
Entity Type:Organization
Organization Name:INFINITE LIFESTYLE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ART THERAPIST, PROGRAM COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BUETTNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-330-0106
Mailing Address - Street 1:3884 PERRYSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15214-1832
Mailing Address - Country:US
Mailing Address - Phone:412-330-0106
Mailing Address - Fax:
Practice Address - Street 1:3884 PERRYSVILLE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15214-1832
Practice Address - Country:US
Practice Address - Phone:412-330-0106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)