Provider Demographics
NPI:1205104635
Name:LIFE SOLUTIONS
Entity type:Organization
Organization Name:LIFE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:316-259-7766
Mailing Address - Street 1:6249 E 21ST ST N
Mailing Address - Street 2:SUITE 119
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-1861
Mailing Address - Country:US
Mailing Address - Phone:316-259-7766
Mailing Address - Fax:877-403-2982
Practice Address - Street 1:6249 E 21ST ST N
Practice Address - Street 2:SUITE 119
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-1861
Practice Address - Country:US
Practice Address - Phone:316-259-7766
Practice Address - Fax:877-403-2982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-13
Last Update Date:2012-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS899106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty