NPIMap

Organization Active NPI

Life Changing Missions LLC

  • Preferred Provider Organization
  • Lithonia, GA
National Provider Identifier
1679194476
Registry record updated May 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
LIFE CHANGING MISSIONS LLC
Practice address
1232 Old Greystone Dr
Lithonia, GA 30058-2955
Phone
(910) 644-3597
NPI assigned
May 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2020

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

Authorized official

Name
Albert Charles Thompson Jr.NPI 1114495082
Title
Owner
Phone
(910) 644-3597

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1232 Old Greystone Dr
Lithonia, GA 30058-2955

Mailing address

1232 Old Greystone Dr
Lithonia, GA 30058-2955
Phone (910) 644-3597

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": "1588464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588464000000",
    "number": "1679194476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 OLD GREYSTONE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582955",
            "telephone_number": "910-644-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 OLD GREYSTONE DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300582955",
            "telephone_number": "910-644-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CHANGING MISSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-03",
        "last_updated": "2020-05-03",
        "certification_date": "2020-05-03",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-644-3597",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.