Organization Name: | LIFE FLOW YOUTH & FAMILY COUNSELING |
NPI Number: | 1457768988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUNSHURAE L BURRIS (OWNER) |
Mailing Address: | 11300 Walland Ln Charlotte |
State: | NC US |
Postal Code: | 282734596 |
Phone Number: | 7044548027 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 302R00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Managed Care Organizations |
Taxonomy Classification: | Health Maintenance Organization |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |