| Life Solutions And Therapy, Pllc | |
|
2212 Library Cir Ste B Grand Forks ND 58201-6326 | |
| (701) 740-5011 | |
| (701) 353-5901 |
| Full Name | Life Solutions And Therapy, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2212 Library Cir Ste B, Grand Forks, North Dakota |
| Authorized Official Name and Position | Lucas James Nelson (OWNER) |
| Authorized Official Contact | 7013204723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Solutions And Therapy, Pllc 402 N 8th St Grand Forks ND 58203-3510 Ph: (701) 320-4723 | Life Solutions And Therapy, Pllc 2212 Library Cir Ste B Grand Forks ND 58201-6326 Ph: (701) 740-5011 |
| NPI Number | 1699170464 |
|---|---|
| Provider Enumeration Date | 10/23/2014 |
| Last Update Date | 03/26/2015 |
| Medicare PECOS PAC ID | 1456662113 |
|---|---|
| Medicare Enrollment ID | O20150622001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699170464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4336 (North Dakota) | Primary |
| Provider Name | Lucas Nelson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235263344 PECOS PAC ID: 2365753027 Enrollment ID: I20150622001665 |
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