| Life Provisions, Llc. | |
|
2025 Ebenezer Rd Ste J4 Rock Hill SC 29732-1079 | |
| (704) 300-4273 | |
| Not Available |
| Full Name | Life Provisions, Llc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2025 Ebenezer Rd Ste J4, Rock Hill, South Carolina |
| Authorized Official Name and Position | Cassandra Demetria Bell (OWNER/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7043004273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Provisions, Llc. 2025 Ebenezer Rd Ste J4 Rock Hill SC 29732-1079 Ph: (704) 300-4273 | Life Provisions, Llc. 2025 Ebenezer Rd Ste J4 Rock Hill SC 29732-1079 Ph: (704) 300-4273 |
| NPI Number | 1245773167 |
|---|---|
| Provider Enumeration Date | 11/25/2016 |
| Last Update Date | 08/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245773167 | NPI | - | NPPES |
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