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Contact Information

LIFE CENTER COUNSELING AND RESOURCES
1 W COURT SQ
SUITE 750
DECATUR, GA30030-2538
 Phone: 404-425-8757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE CENTER COUNSELING AND RESOURCES · (Female)

NPI Number 1093054413
Status Active
Credentials
Entity Individual
Enumeration date 02/05/2013
Last updated 08/27/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 005120
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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