Life Changing Missionary Baptist

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

LIFE CHANGING MISSIONARY BAPTIST

Practice address

4605 Langdon St
Columbus, GA 31907-4050

Phone

(706) 575-6090

Fax

(706) 324-3577

NPI assigned

Apr 17, 2013

Last updated

Apr 17, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

LIFE CHANGING MISSIONARY BAPTISTAs reported in NPPES

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

Authorized official

Name

Mr. Tony A Banks, MS

Title

Bishop/Pastor

Phone

(706) 575-6090

Specialties & licenses 1

Addresses

Part of

Life Changing Missionary Baptist

Locations

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1104260462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 LANGDON ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319074050",
            "telephone_number": "706-575-6090",
            "fax_number": "706-324-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANGDON ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319074050",
            "telephone_number": "706-575-6090",
            "fax_number": "706-324-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING MISSIONARY BAPTIST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE CHANGING MISSIONARY BAPTIST",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BISHOP/PASTOR",
        "authorized_official_telephone_number": "706-575-6090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zeniya Sunshae Lewis, RBT
• Emily Grace Leymeister, PA-C
• Steven Li
• Jessica Elizabeth Lidvall, MA, CFY-SLP
• Lewis R. Lieberman, PH. D.
• Lifestar Ambulance Service, Inc
• Lifeworks Therapy & Telemental Health, LLC
• Melanie B Lifhred, BAI
• Lighthouse Behavioral Consulting
• Lighthouse Healthcare Facilities, Inc

• Voluntary or Charitable Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.