# LIFE SPRINGS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861924953
- **Authorized official:** MR. DUSTIN E PHELPS MS (CO-OWNER)
- **Authorized official phone:** (606) 676-2513

## Contact information

- **Practice address:** 138 KENT HAVEN DR, SOMERSET, KY 42503-6281
- **Practice address phone:** (606) 676-2513
- **Mailing address:** 138 KENT HAVEN DR, SOMERSET, KY 42503-6281

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | KY | — |
| 103K00000X | Behavior Analyst | — | KY | — |
| 103T00000X | Psychologist | KY-0085 | KY | Yes |
| 1041C0700X | Clinical Social Worker | — | KY | — |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017