OrganizationActive
Life Enhancement Services, Inc.
NPI 1811143407 · Adolescent and Children Mental Health Clinic/Center · Tuskegee, AL
Provider details
- NPI number
- 1811143407
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Demetrius Crayton, Executive Director(704) 299-2821
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 Eastside St.
103
Tuskegee, AL 36083-1701
Phone: (704) 727-1122
Fax: (334) 727-7277
Street-level locationGet directions
Mailing address
108 Eastside St.
Tuskegee, AL 36083-1701
Registry dates
- Enumerated
- 2008-08-14
- Last updated
- 2008-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.