Lift for Life Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

LIFT FOR LIFE ACADEMY

Practice address

1731 S Broadway
Saint Louis, MO 63104-4050

Phone

(314) 436-2337

Fax

(314) 231-1299

NPI assigned

Jun 28, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Marshall Cohen

Title

Executive Director

Phone

(314) 436-2337

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1649477241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044050",
            "telephone_number": "314-436-2337",
            "fax_number": "314-231-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631044050",
            "telephone_number": "314-436-2337",
            "fax_number": "314-231-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFT FOR LIFE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-436-2337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetime Support Services, LLC
• Lifevision, Inc.
• Lifewave Technology Group LLC
• Lifework Transitions, LLC
• Lifework, LLC
• Corinne Laura Lige, B.C.O.
• Stephanie Marie Liggins
• Rebecca Sarah Light-Pearlman, PNP
• Parker Ryan Light
• Stacy Joy Light, LPC., NBCC

• Local Education Agency (LEA) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Local Education Agency (LEA) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.