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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