| Life Net Services | |
|
1790 Metromedical Dr Fayetteville NC 28304-3861 | |
| (910) 745-8895 | |
| Not Available |
| Full Name | Life Net Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1790 Metromedical Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Alicia Cabbagestalk (PRESIDENT) |
| Authorized Official Contact | 9102072660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Net Services Po Box 87024 Fayetteville NC 28304-7024 Ph: (910) 745-8895 | Life Net Services 1790 Metromedical Dr Fayetteville NC 28304-3861 Ph: (910) 745-8895 |
| NPI Number | 1629588496 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 04/20/2021 |
| Certification Date | 04/20/2021 |
| Medicare PECOS PAC ID | 6901161603 |
|---|---|
| Medicare Enrollment ID | O20180530001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629588496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Juanita Massol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659664324 PECOS PAC ID: 5698030203 Enrollment ID: I20180601001005 |
| Provider Name | Allison Marie Terrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568711067 PECOS PAC ID: 3274969522 Enrollment ID: I20200204002051 |
| Provider Name | Katie Marie Edwards-humpal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255880555 PECOS PAC ID: 7416236328 Enrollment ID: I20220112000463 |
Securehands Behavioral Health Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2827 Arlington Ave, Fayetteville, NC 28303 Phone: 910-987-9430 Fax: 910-868-6181 | |
Mid-south Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Hope Mills Rd, Fayetteville, NC 28304 Phone: 757-541-4816 | |
A Work In Progress Therapies, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 915 Bingham Dr, Fayetteville, NC 28304 Phone: 910-483-8713 Fax: 910-483-0962 | |
Nc Therapy And Counseling Services Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 916 Arsenal Ave Ste B, Fayetteville, NC 28305 Phone: 910-263-5475 | |
Johari Family Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Whitfield St, Fayetteville, NC 28306 Phone: 910-897-3000 | |
Catholic Charities Of The Diocese Of Raleigh, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2712 Fort Bragg Rd, Fayetteville, NC 28303 Phone: 910-424-2020 | |
Carolina Children Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7712 N Ancon Dr, Fayetteville, NC 28304 Phone: 910-778-8125 |