| Life Solutions, LLC | |
|
512 E Mount Vernon St Nixa MO 65714-9149 | |
| (417) 725-4930 | |
| (417) 725-5149 |
| Full Name | Life Solutions, LLC |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 512 E Mount Vernon St, Nixa, Missouri |
| Authorized Official Name and Position | Ed Melton (MEMBER/DIRECTOR) |
| Authorized Official Contact | 4178942731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Solutions, LLC Po Box 1317 512 E. Mt Vernon Nixa MO 65714-1317 Ph: (417) 725-4930 | Life Solutions, LLC 512 E Mount Vernon St Nixa MO 65714-9149 Ph: (417) 725-4930 |
| NPI Number | 1922174978 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922174978 | NPI | - | NPPES |
| 501498901 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC0777679 (Missouri) | Primary |
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