Organization · Type 2 NPI

The Life Source Group Inc

Mental Health Counselor · Columbus, GA

NPI number 1801606462 Active

Practice location

1425 Wynnton Rd Ste A
Columbus, GA 31906-5718

Call (706) 984-0215 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Social Worker 104100000XNone listed
Marriage & Family Therapist 106H00000XNone listed
Psychiatry Physician 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1801606462

The Life Source Group Inc's National Provider Identifier is 1801606462, issued on Jan 7, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, GA. The record was last updated on Jan 7, 2025.