Active NPI
Life Development & Health Services Corporation
- Multi-Specialty Clinic/Center
- Atlanta, GA
National Provider Identifier
1801543459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
- Practice address
- 3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353 - Phone
- (866) 806-5347
- Fax
- (216) 710-6801
- NPI assigned
- Mar 3, 2022
- Organization subpart
- Yes
- Parent organization
- LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Austin George Benamon
- Title
- Ceo
- Phone
- (866) 806-5347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
3355 Lenox Rd NE Ste 750
Atlanta, GA 30326-1353
Mailing address
12848 Queensbury LN Ste 208
Houston, TX 77024-4163
Phone (866) 806-5347
Other names 1
- Atlanta - Buckhead
National Provider Directory
National Provider Directory- Tax ID family
- Life Development Health Services Corporation
- Part of
- Life Development Health Services Corporation
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1821754193
-
- Multi-Specialty Clinic/Center
- Beachwood, OH
- NPI 1285381889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646265600000",
"number": "1801543459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12848 QUEENSBURY LN STE 208",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244163",
"telephone_number": "866-806-5347",
"fax_number": "216-710-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 LENOX RD NE STE 750",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261353",
"telephone_number": "866-806-5347",
"fax_number": "216-710-6801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIFE DEVELOPMENT & HEALTH SERVICES CORPORATION",
"enumeration_date": "2022-03-03",
"last_updated": "2022-03-03",
"certification_date": "2022-03-03",
"status": "A",
"authorized_official_last_name": "BENAMON",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "866-806-5347"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta - Buckhead",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Atlanta, GA
- Life Balance Pain Care
- Life Begins Here Therapeutic & Counseling Services, LLC
- Life Bridge Dental Ga LLC
- Life Changes Counseling and Consultant Services, LLC
- Life Cycle OB/GYN, LLC
- Life Enhancement Services, Inc.
- Life Gate Counseling Center
- Life Line Home Care Inc
- Life of Georgia Chiropractic, PC
- Life Transitions Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.