MEDICARE: LIFEFLOW HEALTHCARE AND CONSULTING, 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1457200479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFEFLOW HEALTHCARE AND CONSULTING, LLC

Provider Business Mailing Address
First Line	:	3120 SOUTHWEST FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-4520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4247 HELMSIDE LANE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77053
Country	:	US
Telephone Number	:	404-796-7294
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	KEVIN JAMES
Credential	:
Telephone Number	:	404-796-7294

Provider Enumeration Date	:	01/23/2026
Last Update Date	:	01/23/2026

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