Organization
LIFESPAN BEHAVIOR CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIMEE HARRELL LCSW (CO-OWNER)
(765) 588-7196
Entity
Organization
Contact information
Practice address
4010 DRUZE AVE, LAFAYETTE, IN 47909-8259
(765) 588-7196
Mailing address
4010 DRUZE AVE, LAFAYETTE, IN 47909-8259
(765) 588-7196
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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