# AGING SUCCESSFULLY, LLC

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

## Provider details

- **NPI number:** 1326340480
- **Authorized official:** DR. JAMES F. LAWRENCE PH.D APRN BC (PRESIDENT/FOUNDER)
- **Authorized official phone:** (404) 202-5847

## Contact information

- **Practice address:** 1035 FIELDING PARK CT NE, ATLANTA, GA 30319-1989
- **Practice address phone:** (404) 202-5847
- **Mailing address:** 1035 FIELDING PARK CT NE, ATLANTA, GA 30319-1989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | RN134018 | GA | — |
| 286500000X | Military Hospital | RN134018 | GA | Yes |

## Other

- **Enumeration date:** 11/23/2010
- **Last updated:** 01/21/2013