LIFESONG FOR GROWTH AND WELLNESS LLC; NPI #1114228335

Contact Information

LIFESONG FOR GROWTH AND WELLNESS LLC

3401 W TRUMAN BLVD
STE 100
JEFFERSON CITY, MO 65109-5752

Phone: 573-644-7909
Fax: 573-644-7908
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Clinical	103TC0700X	62	Psychologist, Clinical
Clinical	1041C0700X	80	Licensed Clinical Social Worker

Indicates primary specialty

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NPI Profile & details for LIFESONG FOR GROWTH AND WELLNESS LLC

NPI #	`1114228335`
LBN Legal business name	LIFESONG FOR GROWTH AND WELLNESS LLC
Authorized official	DEBORAH MIDDLETON - (PARTNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/04/2010
Last updated	05/02/2014 - About 12 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LIFESONG FOR GROWTH AND WELLNESS LLC

Contact Information

Specialty

Professional

Clinical

Clinical

NPI Profile & details for LIFESONG FOR GROWTH AND WELLNESS LLC

Reviews for LIFESONG FOR GROWTH AND WELLNESS LLC