Provider Demographics
NPI:1477391142
Name:LBM SERVICES, LLC LIFE-BALANCE-MOTIVATION
Entity type:Organization
Organization Name:LBM SERVICES, LLC LIFE-BALANCE-MOTIVATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:CALVIN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:571-730-7733
Mailing Address - Street 1:101 FULLCREST WAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-7767
Mailing Address - Country:US
Mailing Address - Phone:571-730-7733
Mailing Address - Fax:
Practice Address - Street 1:101 FULLCREST WAY
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-7767
Practice Address - Country:US
Practice Address - Phone:571-730-7733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health