Organization
LIFE ENHANCEMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT GRAY III (OWNER)
(202) 269-2401
Entity
Organization
Contact information
Practice address
1818 NEW YORK AVE NE STE 115, WASHINGTON, DC 20002-1851
(202) 269-2401
(202) 269-2402
Mailing address
1818 NEW YORK AVE NE STE 115, WASHINGTON, DC 20002-1851
(202) 269-2401
(202) 269-2402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NC
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301362
—
NC
Enumeration date
12/12/2006
Last updated
05/14/2019
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