Provider Demographics
NPI:1427281690
Name:PLANS FOR LIFE, LLC
Entity type:Organization
Organization Name:PLANS FOR LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:PACE
Authorized Official - Suffix:
Authorized Official - Credentials:BS SPECIAL ED
Authorized Official - Phone:828-877-2897
Mailing Address - Street 1:PO BOX 1767
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-1767
Mailing Address - Country:US
Mailing Address - Phone:828-877-8297
Mailing Address - Fax:828-877-2899
Practice Address - Street 1:3431 ASHEVILLE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768
Practice Address - Country:US
Practice Address - Phone:828-877-2897
Practice Address - Fax:828-877-8299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC36266OtherPROVIDER NUMBER