Provider Demographics
NPI:1285317347
Name:LIFE SOLUTIONS THERAPY SERVICES LLC
Entity type:Organization
Organization Name:LIFE SOLUTIONS THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DASHNER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CSAC
Authorized Official - Phone:262-321-8490
Mailing Address - Street 1:W9498 COUNTY ROAD O
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:WI
Mailing Address - Zip Code:54119-9201
Mailing Address - Country:US
Mailing Address - Phone:262-321-8490
Mailing Address - Fax:262-218-4442
Practice Address - Street 1:W9498 COUNTY ROAD O
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:WI
Practice Address - Zip Code:54119-9201
Practice Address - Country:US
Practice Address - Phone:262-321-8490
Practice Address - Fax:262-218-4442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty