Organization
LIFE GUIDANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA SANCHEZ PHD (CLINICAL DIRECTOR/VICE PRESIDENT)
(610) 865-1699
Entity
Organization
Contact information
Practice address
840 STEFKO BLVD, BETHLEHEM, PA 18017-7079
(610) 865-1699
(610) 865-2812
Mailing address
840 STEFKO BLVD, BETHLEHEM, PA 18017-7079
(610) 865-1699
(610) 865-2812
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
212390
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212390
FACILITY LICENCE
PA
01
—
716867000
PROVIDER ID
PA
Enumeration date
10/12/2006
Last updated
09/18/2008
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