Organization
LIFEWAY TRAINING INSTITUTE CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULENE DOROTHY SMITH PMHNP-BC (OWNER)
(229) 403-9964
Entity
Organization
Contact information
Practice address
410 4TH ST SE, CAIRO, GA 39828-2775
(229) 403-9964
Mailing address
410 4TH ST SE, CAIRO, GA 39828-2775
(229) 403-9964
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083071898
BLUE CROSS BLUE SHIELD/ANTHEM
GA
05
—
1083071898
—
GA
Enumeration date
01/23/2022
Last updated
08/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us