Organization · Type 2 NPI
Maxlife Therapeutic Solutions Inc
Professional Counselor · Augusta, GA
NPI number
1063876407
Active
Practice location
204B Pitcarin Way, Suite #1
Augusta, GA 30909-5766
Mailing address
3915 Cascade Rd SW Ste 355
Atlanta, GA 30331-8520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
Professional Counselor: Definition to come...
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About NPI 1063876407
Maxlife Therapeutic Solutions Inc's National Provider Identifier is 1063876407, issued on Apr 12, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Augusta, GA. The record was last updated on Apr 12, 2016.