The Life Source Llc

LBN: The Life Source Llc
The Life Source Llc is an health care organization with primary practice located at 3228 University Ave Ste 103 , Columbus GA 31907-7201. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. The Life Source Llc can be contacted via phone (762) 207-8218, or through Skinner, Lateasha via phone (762) 207-8218.

Contact Information

Primary practice address
3228 University Ave Ste 103 Columbus GA 31907-7201
Phone: (762) 207-8218
Fax: (706) 400-6478
Website:
Map and Directions
Authorized official contact:
Name: Skinner, Lateasha Licensed Professional Counselor (LPC)
Phone: (762) 207-8218

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1477195154
LBN Legal business name The Life Source Llc
DBA Doing business as
Authorized official Skinner, Lateasha Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2019
Last updated Oct 14th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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