| Life Enhancement Services, Inc. | |
|
777 Cleveland Ave Sw Suite 516 Atlanta GA 30315-7129 | |
| (404) 767-7855 | |
| (404) 767-7858 |
| Full Name | Life Enhancement Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 777 Cleveland Ave Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Herb Gray (OWNER) |
| Authorized Official Contact | 7043423595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services, Inc. 500 E Morehead St Suite 110 Charlotte NC 28202-2616 Ph: (704) 342-3595 | Life Enhancement Services, Inc. 777 Cleveland Ave Sw Suite 516 Atlanta GA 30315-7129 Ph: (404) 767-7855 |
| NPI Number | 1295973329 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 02/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295973329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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