Life Investment Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE INVESTMENT GROUP, LLC

Doing business as

Calvary Counseling Center
FBC Counseling Center

Practice address

105 E Washington Ave
Haughton, LA 71037-6000

Phone

(318) 423-2392

NPI assigned

Nov 20, 2013

Last updated

Mar 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronnie J Burns, PHD

Title

Counselor

Phone

(318) 686-1954

Specialties & licenses 1

Addresses

Other names 2

• Calvary Counseling Center Doing business as
• FBC Counseling Center Doing business as

Locations

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1083044523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 HIGHWAY 615",
            "city": "SHONGALOO",
            "state": "LA",
            "postal_code": "710722050",
            "telephone_number": "318-423-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E WASHINGTON AVE",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710376000",
            "telephone_number": "318-423-2392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9333 Linwood Ave",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711067002",
            "country_code": "US",
            "telephone_number": "318-686-1954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE INVESTMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "318-686-1954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Calvary Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Calvary Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FBC Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jashonda Atkins Knighton
• Suzanne Prim Lancaster
• Rebecca Lange, LMT
• Thomas G. Latiolais, MD
• Jenny Ann Lewis, PT
• Sierra Ann Havrilla Liotta, M.ED. CCC-SLP
• Stephanie Dawson Little
• Christian Lococo, PA-S
• Louisiana CVS Pharmacy, LLC (CVS Pharmacy # 04068)
• Lundell Enterprises Inc.

• Community/Behavioral Health Agency in Haughton, LA
• Providers in Haughton, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.