Life'S Journey Counseling and Mediation Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P0909055 Issued in AR

Legal business name

LIFE'S JOURNEY COUNSELING AND MEDIATION CENTER, LLC

Practice address

512 W Washington Ave
Jonesboro, AR 72401-2780

Phone

(870) 935-5433

Fax

(870) 933-8112

NPI assigned

Nov 17, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte J Evans, LPC

Title

Owner

Phone

(870) 935-5433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Keren Levenbach, LCSW

  • Clinical Social Worker
  • Jonesboro, AR
  • NPI 1336213461
  NPD (past)

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1740582105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012780",
            "telephone_number": "870-935-5433",
            "fax_number": "870-933-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W WASHINGTON AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012780",
            "telephone_number": "870-935-5433",
            "fax_number": "870-933-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE'S JOURNEY COUNSELING AND MEDIATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-935-5433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0909055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandie P. Lieblong, PT
• Life Skills Center
• Life Skills Center, Inc.
• Life Strategies Counselin Incorporated
• Life Strategies Counseling, Inc.
• Brittany Light
• Jenell Light, RBT
• Maranda Light, OTA
• Light'S Chiropractic Health Center
• Lighthouse Counseling Center, PLC

• Mental Health Counselor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.