Organization Active NPI

Life Clarity Group

  • Professional Counselor
  • Snellville, GA
National Provider Identifier
1124329446
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5320 Issued in GA
Legal business name
LIFE CLARITY GROUP
Practice address
2336 Wisteria Dr
Suite 410
Snellville, GA 30078-6191
Phone
(404) 857-7152
Fax
(404) 478-9525
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Mrs. Alisha Macauley, LPC
Title
President
Phone
(404) 857-7152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 5320 GA Primary

Addresses

Primary practice location

2336 Wisteria Dr
Suite 410
Snellville, GA 30078-6191

Mailing address

3375 Centerville Hwy
#391711
Snellville, GA 30039-0133
Phone (404) 857-7152

Other identifiers 1

IdentifierTypeStateIssuer
003122445AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3375 Centerville Hwy
Unit 391711
Snellville, GA 30039

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1124329446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3375 CENTERVILLE HWY",
            "address_2": "#391711",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300390133",
            "telephone_number": "404-857-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 WISTERIA DR",
            "address_2": "SUITE 410",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786191",
            "telephone_number": "404-857-7152",
            "fax_number": "404-478-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CLARITY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "MACAULEY",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-857-7152",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "5320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122445A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.