# LIFE EVOLUTIONS BEHAVIORAL HEALTH CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134355910
- **Authorized official:** ATASHA MURRAY (OWNER/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (404) 636-4346

## Contact information

- **Practice address:** 2598 N DECATUR RD, DECATUR, GA 30033-6118
- **Practice address phone:** (404) 636-5346
- **Mailing address:** PO BOX 83339, CONYERS, GA 30013-8019

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | SLP006065 | GA | Yes |

## Other

- **Enumeration date:** 06/07/2009
- **Last updated:** 06/07/2009