THE LIFE SOURCE LLC NPI 1477195154

NPI Information

NPI: 1477195154
Provider Name: THE LIFE SOURCE LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3228 UNIVERSITY AVE STE 103
COLUMBUS, GA
ZIP 31907
Phone: (762) 207-8218
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THE LIFE SOURCE LLC is a professional counselor in Columbus, GA. THE LIFE SOURCE LLC NPI is 1477195154. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3228 UNIVERSITY AVE STE 103
COLUMBUS, GA
ZIP 31907-201
Phone: (762) 207-8218
Fax: (706) 400-6478

The provider's authorized official is Lateasha Skinner .
The authorized official title is Ceo and has the following contact phone number (762) 207-8218.

The enumeration date for this NPI number is 10/14/2019 and was last updated on 10/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1041C0700X	Social Worker	Clinical	No
2	106H00000X	Marriage & Family Therapist		No
3	101YP2500X	Counselor	Professional	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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