LIFE CHANGING MISSIONS LLC NPI 1679194476

NPI Information

  • NPI: 1679194476
  • Provider Name: LIFE CHANGING MISSIONS LLC
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Address: 1232 OLD GREYSTONE DR
    LITHONIA, GA
    ZIP 30058
  • Phone: (910) 644-3597

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NPI Details

LIFE CHANGING MISSIONS LLC is a preferred provider organization in Lithonia, GA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. LIFE CHANGING MISSIONS LLC NPI is 1679194476. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1232 OLD GREYSTONE DR
LITHONIA, GA
ZIP 30058-955
Phone: (910) 644-3597

The provider's authorized official is Albert Charles Thompson .
The authorized official title is Owner and has the following contact phone number (910) 644-3597.

The enumeration date for this NPI number is 5/3/2020 and was last updated on 5/3/2020.

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 License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2305R00000XPreferred Provider OrganizationYes

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: 11/21/2025

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