Organization
LIFESOURCE FAMILY SOLUTIONS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA LEE TUCKER-HUGGINS LPC-MHSP (EXECUTIVE DIRECTOR)
(931) 212-7227
Entity
Organization
Contact information
Practice address
310 COLLOREDO BLVD BLDG B, SHELBYVILLE, TN 37160-2764
(931) 488-4480
Mailing address
310 COLLOREDO BLVD BLDG B, SHELBYVILLE, TN 37160-2764
(931) 488-4480
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
09/08/2023
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