MEDICARE: LIFE INTENSITY COUNSELING SERVICES

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1861319469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE INTENSITY COUNSELING SERVICES

Provider Business Mailing Address
First Line	:	1201 FREESIA DR
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-4658
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12800 WESTRIDGE BLVD STE 148
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-3288
Country	:	US
Telephone Number	:	469-708-7049
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MONICA RENEA GRAY
Credential	:
Telephone Number	:	817-618-6001

Provider Enumeration Date	:	07/02/2026
Last Update Date	:	07/02/2026

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Directions to “LIFE INTENSITY COUNSELING SERVICES ” Practice Location

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