Organization
LIFE CHANGING MISSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT CHARLES THOMPSON JR. (OWNER)
(910) 644-3597
Entity
Organization
Contact information
Practice address
1232 OLD GREYSTONE DR, LITHONIA, GA 30058-2955
(910) 644-3597
Mailing address
1232 OLD GREYSTONE DR, LITHONIA, GA 30058-2955
(910) 644-3597
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
05/03/2020
Last updated
05/03/2020
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