Healthcare Provider Details

I. General information

NPI: 1104967504
Provider Name (Legal Business Name): L.I.F.E. CONCEPTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 MURCHISON RD SUITE 5-A
FAYETTEVILLE NC
28301-3566
US

IV. Provider business mailing address

2520 MURCHISON RD SUITE 5-A
FAYETTEVILLE NC
28301-3566
US

V. Phone/Fax

Practice location:
  • Phone: 910-222-8901
  • Fax: 910-222-8910
Mailing address:
  • Phone: 910-222-8901
  • Fax: 910-222-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License NumberMHL-026-710
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberMHL-026-710
License Number StateNC

VIII. Authorized Official

Name: MR. ALFRED ANTHONY SPRIGGS
Title or Position: ADMINSTRATOR
Credential: CSAC
Phone: 910-222-8901