Provider Demographics
NPI:1053589127
Name:LIFE PERSPECTIVES, LLC
Entity type:Organization
Organization Name:LIFE PERSPECTIVES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:BOGIA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:443-735-3793
Mailing Address - Street 1:207 MARYLAND AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5864
Mailing Address - Country:US
Mailing Address - Phone:443-735-3793
Mailing Address - Fax:410-543-9897
Practice Address - Street 1:207 MARYLAND AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-5864
Practice Address - Country:US
Practice Address - Phone:443-735-3793
Practice Address - Fax:410-543-9897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty