Life Enhancement Services, Inc. | |
777 Cleveland Ave Sw Suite 516 Atlanta GA 30315-7129 | |
(404) 767-7855 | |
(404) 767-7858 |
Full Name | Life Enhancement Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 777 Cleveland Ave Sw, Atlanta, Georgia |
Authorized Official Name and Position | Herb Gray (OWNER) |
Authorized Official Contact | 7043423595 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Enhancement Services, Inc. 500 E Morehead St Suite 110 Charlotte NC 28202-2616 Ph: (704) 342-3595 | Life Enhancement Services, Inc. 777 Cleveland Ave Sw Suite 516 Atlanta GA 30315-7129 Ph: (404) 767-7855 |
NPI Number | 1295973329 |
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Provider Enumeration Date | 01/28/2009 |
Last Update Date | 02/14/2013 |
Identifier | Type | State | Issuer |
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1295973329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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