MEDICARE: LIFE RHYTHM COUNSELING AND DOULA SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215776208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE RHYTHM COUNSELING AND DOULA SERVICES, LLC

Provider Business Mailing Address
First Line	:	134 TISHOMINGO TRL
Second Line	:
City	:	SALTILLO
State	:	MS
Zip	:	38866-8828
Country	:	US
Telephone Number	:	662-316-5482
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W MAIN ST
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-3254
Country	:	US
Telephone Number	:	662-316-5482
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. DANA TATE BAILEY
Credential	:	LPC
Telephone Number	:	662-316-5482

Provider Enumeration Date	:	05/21/2024
Last Update Date	:	05/21/2024

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