| Lifetime Counseling Llc | |
|
138 Park Ave Suite 214 Winder GA 30680-2118 | |
| (678) 425-9007 | |
| (678) 425-9009 |
| Full Name | Lifetime Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 138 Park Ave, Winder, Georgia |
| Authorized Official Name and Position | Timothy Brian Neville (OWNER / ORGANIZER) |
| Authorized Official Contact | 6784259007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Counseling Llc 138 Park Ave Suite 214 Winder GA 30680-2118 Ph: (678) 425-9007 | Lifetime Counseling Llc 138 Park Ave Suite 214 Winder GA 30680-2118 Ph: (678) 425-9007 |
| NPI Number | 1922430628 |
|---|---|
| Provider Enumeration Date | 08/05/2013 |
| Last Update Date | 08/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922430628 | NPI | - | NPPES |
| 003133270A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC006641 (Georgia) | Primary |
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