Life Foundations

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE FOUNDATIONS

Practice address

2314 S Miami Blvd
Suite 156
Durham, NC 27703-5793

Phone

(919) 572-0900

Fax

(919) 572-0937

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Lawrence Whitted

Title

President

Phone

(919) 572-0900

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1295935914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 S MIAMI BLVD",
            "address_2": "SUITE 156",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035793",
            "telephone_number": "919-572-0900",
            "fax_number": "919-572-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2314 S MIAMI BLVD",
            "address_2": "SUITE 156",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035793",
            "telephone_number": "919-572-0900",
            "fax_number": "919-572-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE FOUNDATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "WHITTED",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-572-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300989",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Coaching
• Life Cycle Counseling PLLC
• Life Enhancement Charitable Foundation
• Life Enhancement Services
• Life Enhancement Services
• Life Foundations Wellness and Supportive Counseling Services, LLC.
• Life Foundations, Inc
• Life Principles Homecare Agency, LLC
• Life Skills Counseling, PLLC
• Life Skills Foundation

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.