Life Skills Community Center Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE SKILLS COMMUNITY CENTER INC

Practice address

3575 Rutherford Road Ext Ste B
Taylors, SC 29687-2168

Phone

(404) 918-0908

NPI assigned

Sep 30, 2020

Last updated

Sep 18, 2024By 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

Keeth Miller

Title

Owner/Ceo

Phone

(404) 918-0908

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

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.

• Anita Blandena Brown, LPC

  • Professional Counselor
  • Taylors, SC
  • NPI 1699012393
  Medicare reassignment NPD

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1871100024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 ERIN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317808",
            "telephone_number": "404-918-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 RUTHERFORD ROAD EXT STE B",
            "city": "TAYLORS",
            "state": "SC",
            "postal_code": "296872168",
            "telephone_number": "404-918-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Sandy Plains Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300667217",
            "country_code": "US",
            "telephone_number": "404-918-0908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFE SKILLS COMMUNITY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEETH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "404-918-0908"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Lanning, MCD CCC-SLP
• David Ivan Lavotchin, PHARMD
• Lauren Lee
• Brynton Lett, PHD, LPCA
• CHI Li, COTA/L
• Joshua Linder
• Susan Cantrell Little, P.T.
• Iyeshia Pearl Livingston
• Caitlin Elizabeth Lochtefeld, D.D.S.
• Sophia Lopez-Taylor, RN

• Community/Behavioral Health Agency in Taylors, SC
• Providers in Taylors, SC by specialty
• Community/Behavioral Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.