Lifeskills Counseling Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

916 Issued in GA

Legal business name

LIFESKILLS COUNSELING SERVICES

Practice address

290 Constitution Blvd
D
Lawrenceville, GA 30046-5696

Phone

(770) 722-8156

Fax

(678) 985-3676

NPI assigned

Dec 20, 2010

Last updated

Dec 20, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David William Kuglin, M.EDNPI 1740325125

Title

Owner

Phone

(770) 722-8156

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, and the practitioner matching its NPPES authorized official.

• David William Kuglin, L.P.C.

  • Professional Counselor
  • Lawrenceville, GA
  • NPI 1740325125
  NPD (past) Authorized official

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1851694590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 FORBES TRL",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395933",
            "telephone_number": "770-722-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 CONSTITUTION BLVD",
            "address_2": "D",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465696",
            "telephone_number": "770-722-8156",
            "fax_number": "678-985-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESKILLS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "KUGLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-722-8156",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.