Organization Name: | LIFE STRATEGY CENTER LLC |
NPI Number: | 1740525930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES DEAN SHIPLEY (OWNER/MGR/LICENSEDPROFESSIONALCOUNS) |
Mailing Address: | 1949 Sugarland Dr Suite 218 Sheridan |
State: | WY US |
Postal Code: | 828015755 |
Phone Number: | 3076748686 |
Fax Number: | 3076741825 |
NPI Enumeration Date: | 11/29/2012 |
NPI Last Update Date: | 12/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1316 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |