NPIMap

Organization Active NPI

Life Gate Counseling Center

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1700101987
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC001932 Issued in GA
Legal business name
LIFE GATE COUNSELING CENTER
Practice address
3434 Roswell Rd NW
Atlanta, GA 30305-1202
Phone
(404) 842-3150
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Delores Rodes
Title
Administrative Manager
Phone
(404) 842-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X APC001932 GA Primary

Addresses

Primary practice location

3434 Roswell Rd NW
Atlanta, GA 30305-1202

Mailing address

3434 Roswell Rd NW
Atlanta, GA 30305-1202

National Provider Directory

National Provider Directory
Tax ID family
Life Gate Counseling Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1700101987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 ROSWELL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 ROSWELL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051202",
            "telephone_number": "404-842-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE GATE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "RODES",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "404-842-3150"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC001932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.