| The Life Change Group | |
| 
					302 Stevens Entry Peachtree City GA 30269-1325  | |
| (770) 486-4887 | |
| Not Available | 
| Full Name | The Life Change Group | 
|---|---|
| Speciality | Psychologist - Counseling | 
| Location | 302 Stevens Entry, Peachtree City, Georgia | 
| Authorized Official Name and Position | Pamela M Wright (LICENSED PSYCHOLOGIST) | 
| Authorized Official Contact | 7704864887 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| The Life Change Group 590 Wentworth Ct Fayetteville GA 30215-7830 Ph: (404) 664-5797  | The Life Change Group 302 Stevens Entry Peachtree City GA 30269-1325 Ph: (770) 486-4887  | 
| NPI Number | 1790159598 | 
|---|---|
| Provider Enumeration Date | 11/18/2015 | 
| Last Update Date | 11/18/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1790159598 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY003202 (Georgia) | Primary | 
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