Circle of Life Therapy & Consulting LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

CIRCLE OF LIFE THERAPY & CONSULTING LLC

Practice address

3572 Preservation Cir
Lilburn, GA 30047-2072

Phone

(770) 866-1794

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Yolanda P Bowdre, OT

Title

Owner

Phone

(770) 866-1794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1598386682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3572 PRESERVATION CIR",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472072",
            "telephone_number": "770-866-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3572 PRESERVATION CIR",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472072",
            "telephone_number": "770-866-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "BOWDRE",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-866-1794",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis Casey Chosewood, MD
• Khadeja Chowdhury, PA
• Morium Chowdhury
• Samuel I Chung, DPT
• Loletra Marshelle Church
• Gregory A Clepper, DMD
• Clinica Familiar Vida Y Salud
• Clinical Altenative Resource Associates, LLC
• Cathron H Cobb, LCSW, LMFT
• Mark Inman Cohen, D.D.S.

• Occupational Therapist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.