Active NPI
Life Center Counseling and Resources
- Clinical Social Worker
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005120
- Legal business name
- LIFE CENTER COUNSELING AND RESOURCES
- Practice address
- 1 W Court SQ
Suite 750
Decatur, GA 30030-2538 - Phone
- (404) 425-8757
- NPI assigned
- Feb 5, 2013
- Last updated
- Aug 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya K. Williams, MSW
- Title
- Owner/Director/Psychotherapist
- Phone
- (404) 425-8757
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | ||
| Clinical Social Worker | 1041C0700X | 005120 | GA | Primary |
Addresses
Primary practice location
1 W Court SQ
Suite 750
Decatur, GA 30030-2538
Mailing address
3949 Perry Pass
Lithonia, GA 30038-7730
Phone (404) 425-8757
National Provider Directory
National Provider DirectoryLocations
250 Georgia Ave SE
Ste 207B
Atlanta, GA 30312
Phone (678) 834-9460
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Decatur, GA
- NPI 1497094791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409097600000",
"number": "1093054413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3949 PERRY PASS",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300387730",
"telephone_number": "404-425-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W COURT SQ",
"address_2": "SUITE 750",
"city": "DECATUR",
"state": "GA",
"postal_code": "300302538",
"telephone_number": "404-425-8757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CENTER COUNSELING AND RESOURCES",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-05",
"last_updated": "2014-08-27",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LATOYA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER/DIRECTOR/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "404-425-8757",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "005120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.