Life Point Family Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004071 Issued in GA

Legal business name

LIFE POINT FAMILY COUNSELING CENTER

Practice address

1246A Concord Rd SE Ste 204
Smyrna, GA 30080-4360

Phone

(770) 689-6537

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Cynthia Wynn

Title

Owner

Phone

(770) 689-6537

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1164655387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246A CONCORD RD SE STE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246A CONCORD RD SE STE 204",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804360",
            "telephone_number": "770-689-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE POINT FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-689-6537"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490053298E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lewis
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• Richard Charles Lie-Nielsen, L.P.C.
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• Anne Christine Lightner, OTR/L
• Cameron Matthew Lilly

• Community/Behavioral Health Agency in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.