| Life Impact Solutions, Pllc | |
|
15036 Arthur Davis Road Huntersville NC 28078-3675 | |
| (980) 202-1747 | |
| (704) 316-2209 |
| Full Name | Life Impact Solutions, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15036 Arthur Davis Road, Huntersville, North Carolina |
| Authorized Official Name and Position | Zaria Davis Humphries (OWNER/ THERAPIST) |
| Authorized Official Contact | 9802021747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Impact Solutions, Pllc 6611 Allness Glen Ln Charlotte NC 28269-6913 Ph: (980) 202-1747 | Life Impact Solutions, Pllc 15036 Arthur Davis Road Huntersville NC 28078-3675 Ph: (980) 202-1747 |
| NPI Number | 1548508476 |
|---|---|
| Provider Enumeration Date | 01/28/2013 |
| Last Update Date | 01/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548508476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C006469 (North Carolina) | Primary |
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