The Life's Star Project Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE LIFE'S STAR PROJECT INC.

Doing business as

Brightside Academy

Practice address

575 Boulevard SE
Suite 200
Atlanta, GA 30312-3464

Phone

(404) 624-4346

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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

Ms. Angela D Jones, MS.ED

Title

Executive Director

Phone

(404) 624-4346

Specialties & licenses 1

Addresses

Other names 1

• Brightside Academy Doing business as

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356487714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 COBB PKWY S",
            "address_2": "SUITE 183",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300606501",
            "telephone_number": "404-624-4346",
            "fax_number": "770-432-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 BOULEVARD SE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123464",
            "telephone_number": "404-624-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE'S STAR PROJECT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-624-4346",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS.ED"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightside Academy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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.