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General NPI Number Information
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NPI Number | 1346321643
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Entity Type | Organization
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Legal Business Name | LIFESKILLS, INC.
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 735 NORTH DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-2620
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Country | US
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Telephone | 270-886-5163
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Fax | 270-886-5178
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Provider Business Mailing Address
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Address Line | PO BOX 614
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City | HOPKINSVILLE
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State | KY
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Zip | 42241-0614
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Country | US
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Telephone | 270-886-2205
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Fax | 270-886-0392
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | TOMMI HOLLOWAY
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Credential |
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Telephone | 270-901-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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