| Lifetime Health Services | |
|
1200 W Maple Ave Geneva AL 36340-1642 | |
| (334) 684-3655 | |
| (334) 684-6564 |
| Full Name | Lifetime Health Services |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1200 W Maple Ave, Geneva, Alabama |
| Authorized Official Name and Position | Charles A Faulkner (CEO) |
| Authorized Official Contact | 3346843655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Health Services 1200 W Maple Ave Geneva AL 36340-1642 Ph: (334) 684-3655 | Lifetime Health Services 1200 W Maple Ave Geneva AL 36340-1642 Ph: (334) 684-3655 |
| NPI Number | 1801931944 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 01/09/2012 |
| Medicare PECOS PAC ID | 0244222487 |
|---|---|
| Medicare Enrollment ID | O20120112000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801931944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 7006 (Alabama) | Primary |
Lighthouse Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 S Live Oak St, Geneva, AL 36340 Phone: 334-684-1045 Fax: 334-684-1047 |