institution
Lifestyle Therapy Center, Llc
Professional Counselor in Riverdale, Georgia
NPI 1780040576

Lifestyle Therapy Center, Llc is a Professional Counselor based in Riverdale, GA and is specialized in Professional. Lifestyle Therapy Center, Llc practices in Riverdale, GA. The NPI Number for Lifestyle Therapy Center, Llc is 1780040576 and holds a License No. LPC008361 (Georgia).

The current practice location address for Lifestyle Therapy Center, Llc is 150 Medical Way, Riverdale, GA and can be reached out via phone at 404-709-8373.

Location: 150 Medical Way, Riverdale, GA, 30274-2533
institution
Provider Profile Details
NPI Number
1780040576
Provider Name
Lifestyle Therapy Center, Llc
Credential
Provider Entity Type
Organization
Address
150 Medical Way, Riverdale, GA, 30274-2533
Phone Number
404-709-8373
Fax Number
Provider Enumeration Date
01/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
$$$$$$$$$ 01 GA SSN
institution
Provider Business Practice Location Address Details
Address
150 Medical Way
City
State
Zip
30274-2533
Phone Number
404-709-8373
Fax Number
person
Provider Business Mailing Address Details
Address
150 Medical Way
City
State
Zip
30274-2533
Phone Number
404-709-8373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC008361 (Georgia)
Definition
Definition to come...
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