| Life Expressions Inc | |
|
414 E Main St Lebanon OH 45036-2234 | |
| (513) 228-0110 | |
| Not Available |
| Full Name | Life Expressions Inc |
|---|---|
| Speciality | Social Worker |
| Location | 414 E Main St, Lebanon, Ohio |
| Authorized Official Name and Position | Carol Jean Brady (PRESIDENT) |
| Authorized Official Contact | 5132280110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Expressions Inc 414 E Main St Lebanon OH 45036-2234 Ph: (513) 228-0110 | Life Expressions Inc 414 E Main St Lebanon OH 45036-2234 Ph: (513) 228-0110 |
| NPI Number | 1972966448 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 6406143452 |
|---|---|
| Medicare Enrollment ID | O20160920000699 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972966448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L.00003841 (Ohio) | Primary |
| Provider Name | Carol J Brady |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790853448 PECOS PAC ID: 5395032346 Enrollment ID: I20160920000853 |
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