| Life Enhancement Services, Inc. | |
|
108 Eastside St. 103 Tuskegee AL 36083-1701 | |
| (704) 727-1122 | |
| (334) 727-7277 |
| Full Name | Life Enhancement Services, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 108 Eastside St., Tuskegee, Alabama |
| Authorized Official Name and Position | Demetrius Crayton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7042992821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Enhancement Services, Inc. 108 Eastside St. 103 Tuskegee AL 36083-1701 Ph: (704) 727-1122 | Life Enhancement Services, Inc. 108 Eastside St. 103 Tuskegee AL 36083-1701 Ph: (704) 727-1122 |
| NPI Number | 1811143407 |
|---|---|
| Provider Enumeration Date | 08/14/2008 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811143407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Tuskegee University Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Basil O'oconnor Hall, Tuskegee, AL 36088 Phone: 334-727-8184 | |
Chicken Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Main Street, Tuskegee, AL 36088 Phone: 334-727-4306 |