Life Therapy, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LIFE THERAPY, INC.

Practice address

2010 Hidden CT
Albany, GA 31707-1945

Phone

(678) 672-9362

NPI assigned

Apr 21, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Antoinette Dion Wilson, LCSWNPI 1528127594

Title

Owner/LCSW

Phone

(678) 672-9362

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Antoinette Dion Wilson, LCSW

  • Clinical Social Worker
  • Albany, GA
  • NPI 1528127594
  NPD Authorized official

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1457095960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 HIDDEN CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071945",
            "telephone_number": "678-672-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HIDDEN CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071945",
            "telephone_number": "678-672-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "678-672-9362",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lifetherapyinc@outlook.com",
            "affiliation": "N",
            "address_1": "2010 Hidden Ct",
            "city": "Albany",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317071945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kayla Michele Lewis, LPC
• Laurie Anne Lewis, CNM
• Melvin Lewis
• Nardriana K Lewis
• Liberty Bell Solutions LLC
• Lifeline Vascular Center - Albany, LLC
• Susan Lightle, MS, CCC-SLP
• Katherine Rose Liles, OT
• George Arthur Lilly Sr.
• Magdalene Lima-Fiallos, MS, CCC-SLP

• Clinical Social Worker in Albany, GA
• Providers in Albany, 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 Apr 21, 2022; 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.