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LIFE SOURCE LLC
NPI 1922510890
Counselor - Professional in Hamilton, MT

Active since October 31, 2017
127 W MAIN ST STE B-2, HAMILTON, MT 59840(770) 354-9621 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Life Source Llc NPPES

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

LIFE SOURCE LLC (NPI 1922510890) is a healthcare organization registered as a professional in Hamilton, Montana and active in the NPI registry since October 2017. The organization lists Fred Michael Huskey, Therapist--partner, as its authorized official.

NPPES Registry Identity

NPI1922510890
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIFE SOURCE LLC
Location Address127 W MAIN ST STE B-2Hamilton, MT 59840-2581
Mailing AddressPo Box 127Hamilton, MT 59840-0127 · (770) 354-9621
Phone(770) 354-9621
Organization SubpartNo
Authorized OfficialFred Michael HuskeyTherapist--partner · (406) 360-5481
Enumeration DateOctober 31, 2017
✔ NPI 1922510890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MT · 387-LCPC
127 W MAIN ST STE B-2, Hamilton, MT 59840
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 LLC's NPI number?

The NPI number for Life Source LLC is 1922510890. It was assigned to this organization in the NPPES registry on October 31, 2017.

Where is Life Source LLC located?

Life Source LLC is located at 127 W Main St Ste B-2, Hamilton, MT 59840. The listed phone number is (770) 354-9621.

What is Life Source LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Life Source LLC was last updated on October 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.