Full Potential Life Llc

LBN: Full Potential Life Llc
Full Potential Life Llc is an health care organization with primary practice located at 1530 N Gregson St Suite 3-D, Durham NC 27701-1155. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Full Potential Life Llc can be contacted via phone (919) 321-6171, or through Graddy, Logan via phone (919) 321-6171.

Contact Information

Primary practice address
1530 N Gregson St Suite 3-D Durham NC 27701-1155
Phone: (919) 321-6171
Fax: (888) 805-6175
Website:
Map and Directions
Authorized official contact:
Name: Graddy, Logan Doctor of Medicine (MD)
Phone: (919) 321-6171

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1568692127
LBN Legal business name Full Potential Life Llc
DBA Doing business as
Authorized official Graddy, Logan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2009
Last updated Jul 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers