Healthcare Provider Details

I. General information

NPI: 1255167276
Provider Name (Legal Business Name): ONELIFE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2024
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W HIGH ST
SOMERSWORTH NH
03878-1527
US

IV. Provider business mailing address

PO BOX 512
EPPING NH
03042-0512
US

V. Phone/Fax

Practice location:
  • Phone: 802-227-4011
  • Fax:
Mailing address:
  • Phone: 802-227-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JUSTIN STUART HOWARD
Title or Position: PRESIDENT
Credential:
Phone: 802-227-4011