Skills for Life Counseling Center

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC004074 Issued in GA

Legal business name

SKILLS FOR LIFE COUNSELING CENTER

Practice address

226 S. Zetterower Ave.
Statesboro, GA 30458-7128

Phone

(912) 681-3331

NPI assigned

Dec 19, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carol Lind Mooney

Title

Ceo

Phone

(912) 536-2141

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1033517271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S ZETTEROWER AVE",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587135",
            "telephone_number": "912-681-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S. ZETTEROWER AVE.",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304587128",
            "telephone_number": "912-681-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS FOR LIFE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "CAROL LIND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-536-2141"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC004074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Signature Ambulance at Statesboro LLC
• Benjamin Andrew Sikes, NP
• Lauren Elizabeth Simerly
• Claudia Marie Simpson
• Justin Simpson
• Callaway Anderson Skinner, PA-C
• Alan W Skipper, APRN, FNP-BC
• James Fentem Small III, MD
• Tinasia Smalls
• Smith & Purvis Family Practice Clinic, PC

• Counselor in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.