Life Source Healing Center, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO6863 Issued in GA

Legal business name

LIFE SOURCE HEALING CENTER, INC

Practice address

1492 Prince Ave
Athens, GA 30606-2210

Phone

(706) 369-3600

Fax

(706) 208-0021

NPI assigned

Oct 9, 2007

Last updated

Oct 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Becky Laird, DC

Title

Owner

Phone

(706) 369-3600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1306034806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062210",
            "telephone_number": "706-369-3600",
            "fax_number": "706-208-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062210",
            "telephone_number": "706-369-3600",
            "fax_number": "706-208-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOURCE HEALING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LAIRD",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-369-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO6863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M. Lewis, LPC
• Marcia L Lewis, RN
• Samuel Watson Lewis, ATC, PT, DPT
• Kristin Carter Ley, ACNP-BC
• Life Point Dental Athens LLC
• Life Transition, Inc. (Life Transition Home Care Services)
• Life Transition, Inc.
• Lifecare Pharmacy Ga Corp
• Lifemate Behavioral and Psychiatry LLC
• Danica Olson Ligato-Riding, LPC

• Chiropractor in Athens, GA
• Providers in Athens, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.