The Life Change Group Nc | |
2215 Us 52 N Albemarle NC 28001-9510 | |
(980) 354-4222 | |
Not Available |
Full Name | The Life Change Group Nc |
---|---|
Speciality | Community/behavioral Health |
Location | 2215 Us 52 N, Albemarle, North Carolina |
Authorized Official Name and Position | Brian L Johnson (FOUNDER AND MANAGING DIRECTOR) |
Authorized Official Contact | 5185126945 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Life Change Group Nc 2215 Us 52 N Albemarle NC 28001-9510 Ph: (980) 354-4222 | The Life Change Group Nc 2215 Us 52 N Albemarle NC 28001-9510 Ph: (980) 354-4222 |
NPI Number | 1336815273 |
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Provider Enumeration Date | 08/20/2021 |
Last Update Date | 08/20/2021 |
Certification Date | 08/20/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336815273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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