Lifetime Counseling Service & Management Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001200 Issued in GA

Legal business name

LIFETIME COUNSELING SERVICE & MANAGEMENT SERVICES

Practice address

2905 Bemiss Rd
Valdosta, GA 31602-7007

Phone

(229) 630-2691

Fax

(888) 974-8762

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Lafrancine Wells Bradford, LICENSE MFT

Title

Owner

Phone

(229) 630-2691

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1669870697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2961",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316042961",
            "telephone_number": "229-630-2691",
            "fax_number": "888-974-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027007",
            "telephone_number": "229-630-2691",
            "fax_number": "888-974-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME COUNSELING SERVICE & MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "WELLS BRADFORD",
        "authorized_official_first_name": "LAFRANCINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-630-2691",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSE MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Valdosta, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.