LONG LIVE LIFE, INC.

ANTIOCH, TN
NPI1881368223
Doing Business AsJONATHAN ADAIR
Entity TypeOrganization
Authorized ContactJONATHAN ADAIR
CEO
615-915-8734
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Additional Taxonomies101YP2500X Counselor Professional
103T00000X Psychologist
104100000X Social Worker
106S00000X Behavior Technician
171400000X 
171M00000X Case Manager/Care Coordinator
171W00000X Contractor
251300000X Local Education Agency (LEA)
251S00000X Community/Behavioral Health
251V00000X Voluntary or Charitable
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center)
305R00000X Preferred Provider Organization
305S00000X Point of Service
Enumeration Date2021-08-08
Last Update Date2021-09-22
Business Address
LONG LIVE LIFE, INC.
5170 HICKORY HOLLOW PKWY UNIT 173
ANTIOCH, TN 37013-3084
Phone number: 615-988-0365
Mailing Address
LONG LIVE LIFE, INC.
5170 HICKORY HOLLOW PKWY UNIT 173
ANTIOCH, TN 37013-3084
Phone number: 615-988-0365