| Life Extensions Llc | |
|
2820 Calliope Way Apt 103 Raleigh NC 27616-6060 | |
| (919) 532-9855 | |
| Not Available |
| Full Name | Life Extensions Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2820 Calliope Way Apt 103, Raleigh, North Carolina |
| Authorized Official Name and Position | Stella L Green (OWNER) |
| Authorized Official Contact | 9195329855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Extensions Llc 1003 Dresser Ct Raleigh NC 27609-7323 Ph: (919) 532-9855 | Life Extensions Llc 2820 Calliope Way Apt 103 Raleigh NC 27616-6060 Ph: (919) 532-9855 |
| NPI Number | 1528688678 |
|---|---|
| Provider Enumeration Date | 04/19/2020 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528688678 | NPI | - | NPPES |
| 1790042356 | Medicaid | NC | |
| 152868867 | Medicaid | NC |
Care One Nursing Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Tryon Rd Suite 103 A, Raleigh, NC 27603 Phone: 919-771-2310 | |
Triumph Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3210 Fairhill Dr, Raleigh, NC 27612 Phone: 919-256-0824 | |
Cheltenham Clinical Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Lynn Rd, Suite 200, Raleigh, NC 27612 Phone: 919-438-7396 | |
Pamela J Rosenberg Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 Washington St, Raleigh, NC 27605 Phone: 919-833-5867 Fax: 919-833-5859 | |
Thriveworks Clinical - North Carolina Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8406 Six Forks Rd Ste 104, Raleigh, NC 27615 Phone: 919-424-6045 Fax: 617-379-0496 | |
Downtown Raleigh Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5109 Carter St, Raleigh, NC 27612 Phone: 910-257-7530 |