Provider Demographics
NPI:1912247289
Name:LIFE LESSONS INC
Entity Type:Organization
Organization Name:LIFE LESSONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DEVONTE
Authorized Official - Middle Name:
Authorized Official - Last Name:EWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-544-4172
Mailing Address - Street 1:931 AZURE HEIGHTS PLACE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110
Mailing Address - Country:US
Mailing Address - Phone:702-544-4172
Mailing Address - Fax:
Practice Address - Street 1:931 AZURE HEIGHTS PLACE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110
Practice Address - Country:US
Practice Address - Phone:702-544-4172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty