| Life 360 Solutions, Llc | |
|
11200 Broadway St Ste 2743 Pearland TX 77584-9787 | |
| (281) 804-1900 | |
| Not Available |
| Full Name | Life 360 Solutions, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 11200 Broadway St Ste 2743, Pearland, Texas |
| Authorized Official Name and Position | Lela Bamberg (OWNER) |
| Authorized Official Contact | 2818041900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life 360 Solutions, Llc 11152 Westheimer Rd # 230 Houston TX 77042-3208 Ph: () - | Life 360 Solutions, Llc 11200 Broadway St Ste 2743 Pearland TX 77584-9787 Ph: (281) 804-1900 |
| NPI Number | 1417228388 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 01/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417228388 | NPI | - | NPPES |
| 192669301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 61023 (Texas) | Primary |
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