Organization
LIFECARE MENTAL HEALTH SERVICES, LLC
Active
Other names
LifeCare Mental Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WHITE LMFT, MDIV (FOUNDER/PRINCIPAL THERAPIST)
(502) 509-1342
Entity
Organization
Contact information
Practice address
1323 LYDIA ST, LOUISVILLE, KY 40217-1536
(502) 509-1342
Mailing address
8772 BLACKMAN RD, KINGSLEY, MI 49649-9646
(231) 944-5907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/11/2021
Last updated
04/10/2023
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