Organization
TOTAL LIFE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK WARREN (CEO)
(770) 365-0043
Entity
Organization
Contact information
Practice address
4566 LAWRENCEVILLE HWY NW STE 101, LILBURN, GA 30047-3686
(877) 935-5285
Mailing address
4159 YEARLING WAY, LITHONIA, GA 30038-6138
(877) 935-5285
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
04/13/2023
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