Lifestyle Consultant Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFESTYLE CONSULTANT SERVICES

Practice address

9204 Falls of Neuse Rd Ste 110
Raleigh, NC 27615-2479

Phone

(919) 341-1234

Fax

(919) 615-0779

NPI assigned

Nov 17, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Yanet Fernandez Cerda

Title

Owner

Phone

(919) 341-1234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1790159523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 FALLS OF NEUSE RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152479",
            "telephone_number": "919-341-1234",
            "fax_number": "919-615-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 FALLS OF NEUSE RD STE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152479",
            "telephone_number": "919-341-1234",
            "fax_number": "919-615-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE CONSULTANT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ CERDA",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-341-1234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.