Healthcare Provider Details

I. General information

NPI: 1427281690
Provider Name (Legal Business Name): PLANS FOR LIFE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2009
Last Update Date: 09/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3431 ASHEVILLE HWY SUITE B
PISGAH FOREST NC
28768
US

IV. Provider business mailing address

PO BOX 1767
BREVARD NC
28712-1767
US

V. Phone/Fax

Practice location:
  • Phone: 828-877-2897
  • Fax: 828-877-8299
Mailing address:
  • Phone: 828-877-8297
  • Fax: 828-877-2899

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. KATIE E PACE
Title or Position: OWNER/MANAGER
Credential: B.S. SPECIAL ED.
Phone: 828-877-2897