Provider Demographics
NPI:1295493773
Name:WORLEY INTEGRAL LIFE LESSONS LLC
Entity type:Organization
Organization Name:WORLEY INTEGRAL LIFE LESSONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:WORLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:917-960-0882
Mailing Address - Street 1:2435 LEGION ST
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-4923
Mailing Address - Country:US
Mailing Address - Phone:917-960-0882
Mailing Address - Fax:
Practice Address - Street 1:2435 LEGION ST
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-4923
Practice Address - Country:US
Practice Address - Phone:917-960-0882
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-02
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty