Lifes Good Stayhere

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Legal business name

LIFES GOOD STAYHERE

Practice address

1048 Scotch Meadows Loop
Monroe, NC 28110-9861

Phone

(704) 441-7205

NPI assigned

Jun 23, 2023

Last updated

Jun 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keyshia Fuller

Title

President

Phone

(704) 441-7205

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1942986047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 SCOTCH MEADOWS LOOP",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109861",
            "telephone_number": "704-441-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 SCOTCH MEADOWS LOOP",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109861",
            "telephone_number": "704-441-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFES GOOD STAYHERE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "KEYSHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-441-7205"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gracyn Lewis, MA, LCMHCA
• Joan Lewis
• Lynda Williams Lewis, CRNA
• Maria Liapis
• Liberty Medical Specialties, Inc
• Lifespan, Inc.
• Lightpoint Corporation
• Lincare Inc. (Adult & Pediatric Specialists)
• Lincare Inc. (HCS Health Care Solutions)
• Lisa Rachel Lindauer, M.D.

• Intellectual & Developmental Disabilities Psychologist in Monroe, NC
• Providers in Monroe, NC by specialty
• Intellectual & Developmental Disabilities Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.