Organization · Type 2 NPI

Life Source Counseling & Consulting, LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Jonesboro, GA

NPI number 1972123362 Active

Practice location

118 North Avenue, Suite A
Jonesboro, GA 30236

Call (404) 372-8941 Map

Mailing address

P.o. Box 302
Rex, GA 30273-0302

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1972123362

Life Source Counseling & Consulting, LLC's National Provider Identifier is 1972123362, issued on Apr 25, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Jonesboro, GA. The record was last updated on Apr 25, 2020.