Organization Active NPI

Lifeworks Therapy & Telemental Health, LLC

  • Professional Counselor
  • Columbus, GA
National Provider Identifier
1871286773
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIFEWORKS THERAPY & TELEMENTAL HEALTH, LLC
Practice address
2901 University Ave Ste 17
Columbus, GA 31907-7605
Phone
(706) 366-9691
NPI assigned
May 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Authorized official

Name
Dr. Deborah A Harnois, PHDNPI 1255028429
Title
Counselor
Phone
(706) 366-9691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2901 University Ave Ste 17
Columbus, GA 31907-7605

Mailing address

2901 University Ave Ste 17
Columbus, GA 31907-7605
Phone (706) 366-9691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251106001106 GA Part B Supplier - Clinic/Group Practice 3173013349 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

2901 University Ave
Ste 17
Columbus, GA 31907
Phone (706) 366-9691

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1871286773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 UNIVERSITY AVE STE 17",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077605",
            "telephone_number": "706-366-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 UNIVERSITY AVE STE 17",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077605",
            "telephone_number": "706-366-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS THERAPY & TELEMENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A",
        "authorized_official_last_name": "HARNOIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "706-366-9691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.