Provider Demographics
NPI:1104967504
Name:L.I.F.E. CONCEPTS
Entity type:Organization
Organization Name:L.I.F.E. CONCEPTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SPRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:CSAC
Authorized Official - Phone:910-222-8901
Mailing Address - Street 1:2520 MURCHISON RD
Mailing Address - Street 2:SUITE 5-A
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3566
Mailing Address - Country:US
Mailing Address - Phone:910-222-8901
Mailing Address - Fax:910-222-8910
Practice Address - Street 1:2520 MURCHISON RD
Practice Address - Street 2:SUITE 5-A
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3566
Practice Address - Country:US
Practice Address - Phone:910-222-8901
Practice Address - Fax:910-222-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-026-710251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251S00000XAgenciesCommunity/Behavioral Health