Organization
LIFE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED MELTON LPC (MEMBER/DIRECTOR)
(417) 894-2731
Entity
Organization
Contact information
Practice address
512 E MOUNT VERNON ST, NIXA, MO 65714-9149
(417) 725-4930
(417) 725-5149
Mailing address
PO BOX 1317, 512 E. MT VERNON, NIXA, MO 65714-1317
(417) 725-4930
(417) 725-5149
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LC0777679
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501498901
—
MO
Enumeration date
11/28/2006
Last updated
08/27/2010
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