Lifehope Mobile Medical

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

Legal business name

LIFEHOPE MOBILE MEDICAL

Practice address

11680 Great Oaks Way Ste 300
Alpharetta, GA 30022-2459

Phone

(404) 255-6358

NPI assigned

Aug 27, 2021

Organization subpart

No

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

Authorized official

Name

Scott Honan

Title

Sole Member

Phone

(404) 255-6358

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1093482903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 380",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 GREAT OAKS WAY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222459",
            "telephone_number": "404-255-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEHOPE MOBILE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HONAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "404-255-6358"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL NUMBER",
            "identifier": "21064276",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marshal WM. Lichtenstein, LPC
• Hege Lidalen
• Life Balance Coaching Solutions, LLC
• Life'S a Journey Counseling Services, LLC
• Lifehope Cardiology, LLC
• Lifehope Pediatric Center, LLC
• Lifehope Trif3Cta Sports Medicine, LLC
• Lifepath PSC LLC
• Lifepath, LLC
• Lifescapes Counseling Services LLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.