Organization Active NPI

Life Guidance LLC

  • Clinic/Center
  • Bethlehem, PA
National Provider Identifier
1871682138
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
212390 Issued in PA
Legal business name
LIFE GUIDANCE LLC
Practice address
840 Stefko Blvd
Bethlehem, PA 18017-7079
Phone
(610) 865-1699
Fax
(610) 865-2812
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Paula Sanchez, PHD
Title
Clinical Director/Vice President
Phone
(610) 865-1699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 212390 PA Primary

Addresses

Primary practice location

840 Stefko Blvd
Bethlehem, PA 18017-7079

Mailing address

840 Stefko Blvd
Bethlehem, PA 18017-7079
Phone (610) 865-1699

Other identifiers 2

IdentifierTypeStateIssuer
212390OtherPAFACILITY LICENCE
716867000OtherPAPROVIDER ID

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1871682138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 STEFKO BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177079",
            "telephone_number": "610-865-1699",
            "fax_number": "610-865-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 STEFKO BLVD",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180177079",
            "telephone_number": "610-865-1699",
            "fax_number": "610-865-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GUIDANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "610-865-1699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "212390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENCE",
            "identifier": "212390",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "716867000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.