Realize Life Coaching, LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW005540 Issued in GA

Legal business name

REALIZE LIFE COACHING, LLC

Practice address

1924 Clairmont Rd
Decatur, GA 30033-3438

Phone

(404) 964-9814

NPI assigned

Mar 27, 2014

Last updated

Mar 27, 2014By 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

Marcia Miller, MPH, LMSW

Title

Social Worker and Life Coach

Phone

(404) 964-9814

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1417374398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 LONGLEY AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185205",
            "telephone_number": "404-964-9814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333438",
            "telephone_number": "404-964-9814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALIZE LIFE COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "SOCIAL WORKER AND LIFE COACH",
        "authorized_official_telephone_number": "404-964-9814",
        "authorized_official_credential": "MPH, LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW005540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Decatur, GA
• Providers in Decatur, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.