Organization
L.I.F.E. COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA KAY THOMPSON-LISIECKI LPC (OWNER)
(912) 283-6612
Entity
Organization
Contact information
Practice address
710 BOWERY LN, BUILDING G BOX 41, FOLKSTON, GA 31537-5967
(912) 496-2616
(912) 496-2671
Mailing address
710 BOWERY LANE, BUILDING G BOX 41, FOLKSTON, GA 31537
(912) 496-2616
(912) 496-2671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC003397
GA
101YM0800X
Mental Health Counselor
Primary
LPC004677
GA
104100000X
Social Worker
MEDIATION 2402
GA
1041C0700X
Clinical Social Worker
LCSW002961
GA
1041C0700X
Clinical Social Worker
MSW003590
GA
Other
Enumeration date
05/16/2007
Last updated
10/12/2012
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