Organization Active NPI

Life Center Counseling and Resources

  • Clinical Social Worker
  • Decatur, GA
National Provider Identifier
1093054413
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005120 Issued in GA
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Latoya K. Williams, MSWNPI 1497094791
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.