Provider Demographics
NPI:1720732456
Name:LIFE 8 LLC
Entity Type:Organization
Organization Name:LIFE 8 LLC
Other - Org Name:LIFE 8.0, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:INGEBORG
Authorized Official - Last Name:ARENTSEN-LANDGREN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:832-341-7633
Mailing Address - Street 1:5112 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4941
Mailing Address - Country:US
Mailing Address - Phone:832-341-7633
Mailing Address - Fax:866-623-7085
Practice Address - Street 1:5112 MIMOSA DR
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4941
Practice Address - Country:US
Practice Address - Phone:832-341-7633
Practice Address - Fax:866-623-7085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Multi-Specialty