LIFE ENHANCEMENT SERVICES, INC. (NPI# 1811143407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811143407 |
| Entity Type | Organization |
| Organization Name | LIFE ENHANCEMENT SERVICES, INC. |
| Practice Address |
108 Eastside St. 103 Tuskegee AL 36083-1701 |
| Practice Telephone | 7047271122 |
| Practice Fax Number | 3347277277 |
| Mailing Telephone | 7047271122 |
| Mailing Fax Number | 3347277277 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | MR. DEMETRIUS CRAYTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7042992821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821254053 | Life Enhancement Services, Inc. | Case Management | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-07 |
| 1295973329 | Life Enhancement Services, Inc. | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 516, Atlanta, GA 30315-7129 | 2009-01-28 |
| 1568618700 | Life Enhancement Services, Inc. | Clinic/Center | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-07 |
| Street Address |
108 EASTSIDE ST. 103 |
| City | TUSKEGEE |
| State | AL |
| Zip Code | 36083-1701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821254053 | Life Enhancement Services, Inc. | Case Management | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-07 |
| 1568618700 | Life Enhancement Services, Inc. | Clinic/Center | 108 Eastside St., 103, Tuskegee, AL 36083-1701 | 2008-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972698587 | Nguyet H Smith | Pharmacist | Central Alabama Veterans Health Care System, Pharmacy, 2400 Hospital Road, Tuskegee, AL 36083 | 2006-10-03 |
| 1619908795 | Carmen Elizabeth Beverly | Podiatrist | Cavhcs 2400 Hospital Rd, Dm Clinic, Tuskegee, AL 36083 | 2006-07-06 |
| 1275564635 | Tim Landers | Audiologist | 2400 Hospital Rd., Cavhcs - 126, Tuskegee, AL 36083 | 2006-07-05 |
| 1790726867 | Lasan Davis | Family Medicine | 203 West Lee Street, Tuskegee, AL 36083 | 2006-06-09 |
| 1831144344 | Denise Free Lensgraf-landers | Audiologist | Cavhcs Audiology (117), 2400 Hospital Road, Tuskegee, AL 36083 | 2006-05-23 |
| 1396705836 | Mark Patrick Mcguire | Optometrist | 2400 Hosptial Road, Eye Clinic Cavhcs, Tuskegee, AL 36083 | 2006-03-27 |
| 1164402863 | Lisa R Green | Optometrist | 2400 Hospital Rd Bldg 3, Tuskegee, AL 36083 | 2006-01-19 |
| 1265775936 | Shari Smith | Social Worker | 2400 Hospital Rd., Cavhcs- Social Work Services, Tuskegee, AL 36083 | 2013-04-01 |
| 1689902710 | Penny M Genous | Social Worker | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-12-01 |
| 1194954255 | Kevin Mcbeth Johnson | Student in an Organized Health Care Education/Training Program | 2400 Hospital Rd, Tuskegee, AL 36083 | 2009-07-10 |
| Find all providers in zip 36083 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1851897920 | Isbell Counseling, LLC | Clinic/Center | 2415 Waid Cir N, Southside, AL 35907-7043 | 2018-04-05 |
| 1730689738 | Blissful Mind Behavioral Health | Clinic/Center | 207 Eustis Ave Se Ste D, Huntsville, AL 35801-4234 | 2018-02-15 |
| 1124574074 | Peulthai House/behavioral Health Day Treatment Center | Clinic/Center | 14881 G Hwy 231/431, North Hazel Green, AL 35750 | 2016-08-31 |
| 1619347325 | Pinnacle Behavioral Health, Inc | Clinic/Center | 2800 Bob Wallace Ave Sw, Huntsville, AL 35805-4154 | 2015-10-07 |
| 1902216203 | Rudolph Bolling Psychiatry PC | Clinic/Center | 201 Beacon Pkwy W Ste 201, Birmingham, AL 35209-3129 | 2014-05-07 |
| 1750480752 | Tuscaloosa Juvenile Detention Center | Clinic/Center | 6001 12th Ave E, Tuscaloosa, AL 35405-5163 | 2006-09-22 |
| 1922010651 | Specialized Alternatives for Families and Youth of America, Inc. | Clinic/Center | 9532 Wynlakes Pl, Montgomery, AL 36117-8515 | 2006-08-12 |
| 1760439590 | Hc Parternership | Clinic/Center | 6869 5th Avenue South, Birmingham, AL 35212-1866 | 2006-05-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.