LIFE SOURCE SOLUTIONS, INC
NPI 1609004563
Clinic/Center - Adult Mental Health in Riverside, CA

Q: What is Life Source Solutions, Inc's NPI number?

The NPI number for Life Source Solutions, Inc is 1609004563. It was assigned to this organization in the NPPES registry on June 30, 2009.

Q: What is Life Source Solutions, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since June 30, 2009

4107 MISSION INN AVE, RIVERSIDE, CA 92501(951) 682-7143(951) 684-1135 Get Directions Write a Review

NPPES record last updated: June 30, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Life Source Solutions, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE SOLUTIONS, INC (NPI 1609004563) is a healthcare organization registered as an adult mental health in Riverside, California and active in the NPI registry since June 2009. The organization lists Avis C Attaway, Owner, as its authorized official.

NPPES Registry Identity

NPI1609004563

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameLIFE SOURCE SOLUTIONS, INC

Location Address4107 MISSION INN AVERiverside, CA 92501

Mailing AddressPo Box 529Riverside, CA 92501 · (951) 682-7143 · Fax (951) 684-1135

Phone(951) 682-7143

Fax(951) 684-1135

Organization SubpartNo

Authorized OfficialAvis C AttawayOwner · (951) 522-9370

Enumeration DateJune 30, 2009

✔ NPI 1609004563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

4107 MISSION INN AVE, Riverside, CA 92501

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUY FRANCIS BALICE PH.D.

Psychologist (Clinical)

4107 MISSION INN AVE
RIVERSIDE, CA 92501

Riverside County (951) 682-7143

AVIS C ATTAWAY LMFT

Marriage & Family Therapist

4107 MISSION INN AVE
RIVERSIDE, CA 92501

Riverside County (951) 522-9370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Solutions, Inc's NPI number?

The NPI number for Life Source Solutions, Inc is 1609004563. It was assigned to this organization in the NPPES registry on June 30, 2009.

Where is Life Source Solutions, Inc located?

Life Source Solutions, Inc is located at 4107 Mission Inn Ave, Riverside, CA 92501. The listed phone number is (951) 682-7143.

What is Life Source Solutions, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Life Source Solutions, Inc was last updated on June 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.