| Lifespan Incorporated | |
|
264 Lillie Ln Canton NC 28716-7900 | |
| (704) 944-5100 | |
| Not Available |
| Full Name | Lifespan Incorporated |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 264 Lillie Ln, Canton, North Carolina |
| Authorized Official Name and Position | Robin Devore (VP CORPORATE COMPLIANCE AND OPERATI) |
| Authorized Official Contact | 7049445100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Incorporated 1511 Shopton Rd Ste A Charlotte NC 28217-3240 Ph: () - | Lifespan Incorporated 264 Lillie Ln Canton NC 28716-7900 Ph: (704) 944-5100 |
| NPI Number | 1811484884 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811484884 | NPI | - | NPPES |
| 3408802 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Meridian Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Thompson St, Canton, NC 28716 Phone: 828-631-3973 | |
Sunrise Child Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Church St, Canton, NC 28716 Phone: 828-550-7617 | |
Misty Annarino Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Main St, Canton, NC 28716 Phone: 828-335-5895 Fax: 980-832-1271 | |
Haywood Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Main St, Canton, NC 28716 Phone: 828-335-5895 |