Life Learning Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

LIFE LEARNING CENTER

Practice address

5 Brandywine Blvd
Wilmington, DE 19809-3235

Phone

(302) 300-5519

Fax

(302) 552-3561

NPI assigned

Mar 18, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Forrest Watson IV

Title

Ceo

Phone

(302) 300-5519

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1225614506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093235",
            "telephone_number": "302-300-5519",
            "fax_number": "302-552-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRANDYWINE BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093235",
            "telephone_number": "302-300-5519",
            "fax_number": "302-552-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LEARNING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-300-5519",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina Leslie Licht, LPCMH
• Ellen Lider
• Amber Liedlich, COTA/L
• Life at St. Francis Healthcare, Inc.
• Life Changing Care LLC
• Lifeglow Health Services Inc
• Lifemd New England Patient Medical Care PA
• Lifespan Counseling at the Kids Couch Inc LLC
• Lifestream Behavioral Health
• Irwin Lance Lifrak, M.D.

• Community Health Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Community Health Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.