Organization
HEALTHY LIVING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAMAR FAGGART (OWNER)
(980) 365-0100
Entity
Organization
Contact information
Practice address
150 BW THOMAS DR STE 109, FORT MILL, SC 29708-7231
(980) 365-0100
Mailing address
4205 KELLYBROOK DR, CONCORD, NC 28025-7100
(980) 365-0100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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