| Lifeworthy LLC | |
|
311 1/2 Conant St Ste 205 Maumee OH 43537-3378 | |
| (567) 229-3467 | |
| Not Available |
| Full Name | Lifeworthy LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 311 1/2 Conant St Ste 205, Maumee, Ohio |
| Authorized Official Name and Position | Juanita Pettaway (OWNER) |
| Authorized Official Contact | 5672293467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifeworthy LLC 311 1/2 Conant St Ste 205 Maumee OH 43537-3378 Ph: (567) 229-3467 | Lifeworthy LLC 311 1/2 Conant St Ste 205 Maumee OH 43537-3378 Ph: (567) 229-3467 |
| NPI Number | 1417573221 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 10/17/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417573221 | NPI | - | NPPES |
| 0428892 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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