Organization
LIFE IMPACT SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZARIA DAVIS HUMPHRIES LCSW (OWNER/ THERAPIST)
(980) 202-1747
Entity
Organization
Contact information
Practice address
15036 ARTHUR DAVIS ROAD, HUNTERSVILLE, NC 28078-3675
(980) 202-1747
(704) 316-2209
Mailing address
6611 ALLNESS GLEN LN, CHARLOTTE, NC 28269-6913
(980) 202-1747
(704) 316-2209
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C006469
NC
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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