| Life In Motion Llc | |
|
4613 Greenwood Rd Louisville KY 40258-3725 | |
| (502) 444-5433 | |
| (502) 535-2618 |
| Full Name | Life In Motion Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4613 Greenwood Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Melissa D Smith (OWNER) |
| Authorized Official Contact | 5024445433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life In Motion Llc 8106 Red Stone Hill Rd Louisville KY 40214-4614 Ph: (502) 444-5433 | Life In Motion Llc 4613 Greenwood Rd Louisville KY 40258-3725 Ph: (502) 444-5433 |
| NPI Number | 1376278614 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 7416399381 |
|---|---|
| Medicare Enrollment ID | O20240523000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376278614 | NPI | - | NPPES |
| Provider Name | Melissa Dean Smith |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1568016798 PECOS PAC ID: 8325480296 Enrollment ID: I20240523002519 |
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