| Life Management, Inc. | |
|
604 South Maple Avenue Afton OK 74331-0461 | |
| (918) 257-9570 | |
| Not Available |
| Full Name | Life Management, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 604 South Maple Avenue, Afton, Oklahoma |
| Authorized Official Name and Position | Necole M Carpenter (PRESIDENT) |
| Authorized Official Contact | 9182579570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Management, Inc. Po Box 401 Afton OK 74331-0401 Ph: (918) 257-9570 | Life Management, Inc. 604 South Maple Avenue Afton OK 74331-0461 Ph: (918) 257-9570 |
| NPI Number | 1275955726 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Medicare PECOS PAC ID | 9931636404 |
|---|---|
| Medicare Enrollment ID | O20241222000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275955726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Oklahoma) | Primary |
| Provider Name | Necole Marie Carpenter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649494303 PECOS PAC ID: 8022545599 Enrollment ID: I20241222000110 |
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