Life Sync Partners

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE SYNC PARTNERS

Practice address

3113 Bangor Dr
Chesapeake, VA 23321-4901

Phone

(252) 287-3168

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomasha Harrell

Title

Adminstrator/ Owner

Phone

(252) 287-3168

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1528829041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 BANGOR DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214901",
            "telephone_number": "252-287-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 BANGOR DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214901",
            "telephone_number": "252-287-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SYNC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "THOMASHA",
        "authorized_official_title_or_position": "ADMINSTRATOR/ OWNER",
        "authorized_official_telephone_number": "252-287-3168"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger William Lidman, M.D.
• Life Choices LLC
• Life Consultants
• Life Cycle Services Inc.
• Life Path Solutions, LLC
• Life Transitions Inc.
• Lifeline Lift LLC (Lifeline Lift)
• Casey Lifsey, M.S. ED., CCC-SLP
• Ashley Witherspoon Franklin Light, MS, OTR-L
• Ryan Eugene Light, MD

• Community/Behavioral Health Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.