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OPTIMUM LIFE COUNSELING AND CONSULTING SERVICES LLC. NPI 1558098087


NPI Information

NPI: 1558098087
Provider Name: OPTIMUM LIFE COUNSELING AND CONSULTING SERVICES LLC.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA
ZIP 30281
Phone: (770) 703-0004
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OPTIMUM LIFE COUNSELING AND CONSULTING SERVICES LLC. is a counselor in Stockbridge, GA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. OPTIMUM LIFE COUNSELING AND CONSULTING SERVICES LLC. NPI is 1558098087. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

255 CORPORATE CENTER DR STE C
STOCKBRIDGE, GA
ZIP 30281-376
Phone: (770) 703-0004

The provider's authorized official is Pamela Yvonne Little .
The authorized official title is Counselor and has the following contact phone number (770) 861-0251.

The enumeration date for this NPI number is 8/4/2022 and was last updated on 8/4/2022.


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
1101Y00000XCounselorYes

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: 5/5/2024

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