Provider Demographics
NPI:1881486595
Name:LIFE SOLUTIONS COUNSELING SERVICES
Entity type:Organization
Organization Name:LIFE SOLUTIONS COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAC
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:520-392-0088
Mailing Address - Street 1:5545 SAUFLEY FIELD RD
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-9479
Mailing Address - Country:US
Mailing Address - Phone:520-392-0088
Mailing Address - Fax:
Practice Address - Street 1:9886 JENO RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32583-9345
Practice Address - Country:US
Practice Address - Phone:520-392-0088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty