| Inspiring Life Changes, Llc | |
|
1025 Veterans Memorial Hwy Se Ste 660 Mableton GA 30126-7711 | |
| (404) 980-9330 | |
| Not Available |
| Full Name | Inspiring Life Changes, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1025 Veterans Memorial Hwy Se Ste 660, Mableton, Georgia |
| Authorized Official Name and Position | Keyontia White (OWNER) |
| Authorized Official Contact | 4049809330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring Life Changes, Llc 1025 Veterans Memorial Hwy Se Ste 660 Mableton GA 30126-7711 Ph: (404) 980-9330 | Inspiring Life Changes, Llc 1025 Veterans Memorial Hwy Se Ste 660 Mableton GA 30126-7711 Ph: (404) 980-9330 |
| NPI Number | 1225715493 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225715493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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