Maxlife Therapeutic Solutions Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MAXLIFE THERAPEUTIC SOLUTIONS INC

Practice address

204B Pitcarin Way
Suite #1
Augusta, GA 30909-5766

Phone

(912) 319-7250

NPI assigned

Apr 12, 2016

Organization subpart

No

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

Authorized official

Name

Carolyn Waller

Title

Chief Executive Officer

Phone

(404) 867-3093

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1063876407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE 355",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318520",
            "telephone_number": "404-867-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204B PITCARIN WAY",
            "address_2": "SUITE #1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095766",
            "telephone_number": "912-319-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXLIFE THERAPEUTIC SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "WALLER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-867-3093"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M Maule, RN, MSN, CS,FNP, CDE
• Sarah Ann Mauney, DO
• Vijay Maurya, MD
• Maxi Maxi's
• Maxim Healthcare Services, Inc.
• Maxwell House Pharmacy LLC (Maxwell House Pharmacy)
• Janet Smith Maxwell, FNP-BC
• Christina May, FNP
• Danielle Julianne May
• Frankie B May

• Professional Counselor in Augusta, GA
• Providers in Augusta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.