| Lifesource Family Solutions Corp | |
|
310 Colloredo Blvd Bldg B Shelbyville TN 37160-2764 | |
| (931) 488-4480 | |
| Not Available |
| Full Name | Lifesource Family Solutions Corp |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 310 Colloredo Blvd Bldg B, Shelbyville, Tennessee |
| Authorized Official Name and Position | Laura Lee Tucker-huggins (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9312127227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesource Family Solutions Corp 310 Colloredo Blvd Bldg B Shelbyville TN 37160-2764 Ph: (931) 488-4480 | Lifesource Family Solutions Corp 310 Colloredo Blvd Bldg B Shelbyville TN 37160-2764 Ph: (931) 488-4480 |
| NPI Number | 1699465138 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699465138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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