Organization
LIFE CHANGES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENE SMITH LCAS (OWNER)
(336) 387-0393
Entity
Organization
Contact information
Practice address
204 MUIRS CHAPEL RD, STE 100, GREENSBORO, NC 27410-6173
(336) 387-0393
Mailing address
204 MUIRS CHAPEL RD, STE 100, GREENSBORO, NC 27410-6173
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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