Organization Name: | LIFE'S INTERSECTIONS LLC |
NPI Number: | 1285924910 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARIA FISHEL (DIRECTOR/OWNER) |
Mailing Address: | 1202 Lakeway Dr Ste. 8 Lakeway |
State: | TX US |
Postal Code: | 787344473 |
Phone Number: | 5127486373 |
Fax Number: | 5125510722 |
NPI Enumeration Date: | 04/14/2011 |
NPI Last Update Date: | 04/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 32643 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |