Organization
LIFE CHANGES COUNSELING LLC
Active
Organization
LIFE CHANGES COUNSELING LLC
Active
Other names
Susan Feehan, LCSW
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN DAVIS FEEHAN LCSW (LCSW)
(478) 397-6209
Entity
Organization
Contact information
Practice address
121 CARL VINSON PKWY, PSYCHOLOGICAL OFFICES, WARNER ROBINS, GA 31088-5817
(478) 922-2365
(478) 922-1778
Mailing address
105 WELLINGTON DR, PERRY, GA 31069-9713
(478) 397-6209
(478) 922-1778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003482
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073577557
NPI UNDER SSN
GA
Enumeration date
03/08/2007
Last updated
08/22/2020
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