MEDICARE: LIFEPRACTICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1285580811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEPRACTICAL LLC

Provider Business Mailing Address
First Line	:	176 MARLSTONE CT
Second Line	:
City	:	HELENA
State	:	AL
Zip	:	35080-3566
Country	:	US
Telephone Number	:	205-319-1620
Fax Number	:

Provider Business Practice Location Address
First Line	:	5510 HIGHWAY 280 STE 211
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35242-6583
Country	:	US
Telephone Number	:	205-807-6645
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL L JOHNSON
Credential	:	LPC, LMFT
Telephone Number	:	205-319-1620

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “LIFEPRACTICAL LLC ” Practice Location

Language	Start Address	Practice Location

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