Organization
LIFETIME COUNSELING LLC
Active
Other names
Lifetime Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BRIAN NEVILLE LPC (OWNER / ORGANIZER)
(678) 425-9007
Entity
Organization
Contact information
Practice address
138 PARK AVE, SUITE 214, WINDER, GA 30680-2118
(678) 425-9007
(678) 425-9009
Mailing address
138 PARK AVE, SUITE 214, WINDER, GA 30680-2118
(678) 425-9007
(678) 425-9009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC006641
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133270A
—
GA
Enumeration date
08/05/2013
Last updated
08/05/2013
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