Organization Active NPI

Life Net Services

  • Addiction Psychiatry Physician
  • Whiteville, NC
National Provider Identifier
1720799117
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
LIFE NET SERVICES
Practice address
800 Jefferson St Ste 114
Whiteville, NC 28472-3702
Phone
(910) 745-8895
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Alicia Cabbagestalk
Title
Owner
Phone
(910) 745-8895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0802X Primary

Addresses

Primary practice location

800 Jefferson St Ste 114
Whiteville, NC 28472-3702

Mailing address

PO Box 87024
Fayetteville, NC 28304-7024
Phone (910) 745-8895

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eurejo@emcs-inc.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Life Net Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 Jefferson St
Ste 114
Whiteville, NC 28472
Phone (910) 642-3598

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1720799117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87024",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283047024",
            "telephone_number": "910-745-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 JEFFERSON ST STE 114",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723702",
            "telephone_number": "910-745-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE NET SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "CABBAGESTALK",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-745-8895"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eurejo@emcs-inc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Jefferson St Ste 114",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.