Organization
LIFE PROVISIONS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA DEMETRIA BELL MED., LPC (OWNER/CHIEF EXECUTIVE OFFICER)
(704) 300-4273
Entity
Organization
Contact information
Practice address
2025 EBENEZER RD STE J4, ROCK HILL, SC 29732-1079
(704) 300-4273
Mailing address
2025 EBENEZER RD STE J4, ROCK HILL, SC 29732-1079
(704) 300-4273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/25/2016
Last updated
08/14/2019
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