Organization
LIFE POINT FAMILY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA WYNN (OWNER)
(770) 689-6537
Entity
Organization
Contact information
Practice address
1246A CONCORD RD SE STE 204, SMYRNA, GA 30080-4360
(770) 689-6537
Mailing address
1246A CONCORD RD SE STE 204, SMYRNA, GA 30080-4360
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC004071
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490053298E
—
GA
Enumeration date
09/04/2009
Last updated
09/04/2009
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