Life Impact Solutions, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C006469 Issued in NC

Legal business name

LIFE IMPACT SOLUTIONS, PLLC

Practice address

15036 Arthur Davis Road
Huntersville, NC 28078-3675

Phone

(980) 202-1747

Fax

(704) 316-2209

NPI assigned

Jan 28, 2013

Last updated

Jan 28, 2013By 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

Ms. Zaria Davis Humphries, LCSW

Title

Owner/ Therapist

Phone

(980) 202-1747

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zaria Davis Humphries, MSW, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1295029908
  NPD (past)

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1548508476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 ALLNESS GLEN LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282696913",
            "telephone_number": "980-202-1747",
            "fax_number": "704-316-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15036 ARTHUR DAVIS ROAD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783675",
            "telephone_number": "980-202-1747",
            "fax_number": "704-316-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IMPACT SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS HUMPHRIES",
        "authorized_official_first_name": "ZARIA",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "980-202-1747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C006469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Kelly Lewis, CNM
• Jia Hao Liang, MD
• Brianna Nicole Licari
• Life & Wellness Counseling and Counsulting
• Life Enhancement Services of NC LLC
• Lifespring Chiropractic
• Kimberly Lind, OT
• Matthew W Lineberger, D.D.S.
• William M Lippard, MA
• James Karol Lisowski, PA-C

• Community/Behavioral Health Agency in Huntersville, NC
• Providers in Huntersville, 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 Jan 28, 2013; 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.