NPIMap

Organization Active NPI

Optimum Life Counseling and Consulting Services LLC.

  • Counselor
  • Stockbridge, GA
National Provider Identifier
1558098087
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
OPTIMUM LIFE COUNSELING AND CONSULTING SERVICES LLC.
Practice address
255 Corporate Center Dr Ste C
Stockbridge, GA 30281-7376
Phone
(770) 703-0004
NPI assigned
Aug 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Mrs. Pamela Yvonne Little, MA, LPC, NBCCNPI 1104395847
Title
Counselor
Phone
(770) 861-0251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

255 Corporate Center Dr Ste C
Stockbridge, GA 30281-7376

Mailing address

2107 Charles Cudd CT
Lithonia, GA 30058-3601
Phone (770) 861-0251

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1558098087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 CHARLES CUDD CT",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583601",
            "telephone_number": "770-861-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CORPORATE CENTER DR STE C",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817376",
            "telephone_number": "770-703-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM LIFE COUNSELING AND CONSULTING SERVICES LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "770-861-0251",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, NBCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.