Life Source Solutions, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFE SOURCE SOLUTIONS, INC

Practice address

4107 Mission Inn Ave
Riverside, CA 92501

Phone

(951) 682-7143

Fax

(951) 684-1135

NPI assigned

Jun 30, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Avis C Attaway, LMFTNPI 1427158369

Title

Owner

Phone

(951) 522-9370

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Avis C Attaway, LMFT

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1427158369
  NPD (past) Authorized official
• Guy Francis Balice, PH.D.

  • Clinical Psychologist
  • Riverside, CA
  • NPI 1134358666
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1609004563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92501",
            "telephone_number": "951-682-7143",
            "fax_number": "951-684-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MISSION INN AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92501",
            "telephone_number": "951-682-7143",
            "fax_number": "951-684-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "ATTAWAY",
        "authorized_official_first_name": "AVIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-522-9370",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Fai Lien, M.D.
• Lieu Rupp, M.D. Inc.
• Jennifer Crystal Lievanos, PA-C
• Life Arts Counseling Center
• Life Enhancement Center
• Life Source Training Institute Inc
• Lifehouse Riverside Operations, LLC.
• Lifepath Center
• Lifepath Center PLLC
• Lifequality Nutrition Network Cooperative Inc.

• Adult Mental Health Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.