Life Changes Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003482 Issued in GA

Legal business name

LIFE CHANGES COUNSELING LLC

Practice address

121 Carl Vinson Pkwy
Psychological Offices
Warner Robins, GA 31088-5817

Phone

(478) 922-2365

Fax

(478) 922-1778

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Davis Feehan, LCSW

Title

LCSW

Phone

(478) 397-6209

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Susan Feehan, LCSW Other name

Locations

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275664831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WELLINGTON DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699713",
            "telephone_number": "478-397-6209",
            "fax_number": "478-922-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CARL VINSON PKWY",
            "address_2": "PSYCHOLOGICAL OFFICES",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885817",
            "telephone_number": "478-922-2365",
            "fax_number": "478-922-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FEEHAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "478-397-6209",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI UNDER SSN",
            "identifier": "1073577557",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susan Feehan, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Mary Lilley, LPN

• Clinical Social Worker in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.