Healthcare Provider Details
I. General information
NPI: 1780190785
Provider Name (Legal Business Name): EMPLOYMENT SOLUTIONS INC DBA LIFEWORKS INTEGRATED THERAPEUTIC SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/28/2017
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
90 SOUTHPORT DR
LEXINGTON KY
40503-1819
US
IV. Provider business mailing address
90 SOUTHPORT DR
LEXINGTON KY
40503-1819
US
V. Phone/Fax
- Phone: 859-288-7580
- Fax:
- Phone: 859-288-7580
- Fax: 859-373-8033
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STACY
JOHNSON
SEALE
Title or Position: DIRECTOR OF THERAPIES
Credential:
Phone: 859-288-7580