| Lifeworks Resources, Llc | |
|
1186 Hwy 45 Bypass Ste D Jackson TN 38301-3256 | |
| (731) 215-0502 | |
| (731) 345-4086 |
| Full Name | Lifeworks Resources, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1186 Hwy 45 Bypass Ste D, Jackson, Tennessee |
| Authorized Official Name and Position | Mark Baldwin (PRESIDENT) |
| Authorized Official Contact | 7314670504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworks Resources, Llc 1186 Hwy 45 Bypass Ste D Jackson TN 38301-3256 Ph: (317) 215-0502 | Lifeworks Resources, Llc 1186 Hwy 45 Bypass Ste D Jackson TN 38301-3256 Ph: (731) 215-0502 |
| NPI Number | 1811490964 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 07/01/2022 |
| Certification Date | 07/01/2022 |
| Medicare PECOS PAC ID | 2860844560 |
|---|---|
| Medicare Enrollment ID | O20240118001636 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811490964 | NPI | - | NPPES |
| Q035248. | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Mark Baldwin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407069321 PECOS PAC ID: 3779935473 Enrollment ID: I20240118003195 |
| Provider Name | Rebecca Gregory |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861964660 PECOS PAC ID: 2567805658 Enrollment ID: I20240206001152 |
| Provider Name | Joshua Krebs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851863450 PECOS PAC ID: 0547606576 Enrollment ID: I20240312003147 |
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