| Lifes Good Stayhere | |
|
1048 Scotch Meadows Loop Monroe NC 28110-9861 | |
| (704) 441-7205 | |
| Not Available |
| Full Name | Lifes Good Stayhere |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 1048 Scotch Meadows Loop, Monroe, North Carolina |
| Authorized Official Name and Position | Keyshia Fuller (PRESIDENT) |
| Authorized Official Contact | 7044417205 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifes Good Stayhere 1048 Scotch Meadows Loop Monroe NC 28110-9861 Ph: (704) 441-7205 | Lifes Good Stayhere 1048 Scotch Meadows Loop Monroe NC 28110-9861 Ph: (704) 441-7205 |
| NPI Number | 1942986047 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942986047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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