Healthcare Provider Details

I. General information

NPI: 1477391142
Provider Name (Legal Business Name): LBM SERVICES, LLC LIFE-BALANCE-MOTIVATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FULLCREST WAY
APEX NC
27539-7767
US

IV. Provider business mailing address

101 FULLCREST WAY
APEX NC
27539-7767
US

V. Phone/Fax

Practice location:
  • Phone: 571-730-7733
  • Fax:
Mailing address:
  • Phone: 571-730-7733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. LOUIS CALVIN WILLIAMS JR.
Title or Position: CEO
Credential:
Phone: 571-730-7733