Optimum Life Counseling And Consulting Services LLC.
Counselor in Stockbridge, GA. Organization (NPI-2).
NPI number1558098087
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1558098087
- Entity type
- Organization (NPI-2)
- Legal business name
- Optimum Life Counseling And Consulting Services LLC.
- Organization subpart
- No
- Enumeration date
- Aug 4, 2022
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
255 Corporate Center Dr Ste CStockbridge, GA 30281-7376
Phone 770-703-0004
Mailing address
2107 Charles Cudd CtLithonia, GA 30058-3601
Phone 770-861-0251
Authorized official
Pamela Yvonne Little
Counselor
7708610251
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