| The Life Change Group | |
|
302 Stevens Entry Peachtree City GA 30269-1325 | |
| (770) 486-4887 | |
| Not Available |
| Full Name | The Life Change Group |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 302 Stevens Entry, Peachtree City, Georgia |
| Authorized Official Name and Position | Pamela M Wright (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7704864887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Life Change Group 590 Wentworth Ct Fayetteville GA 30215-7830 Ph: (404) 664-5797 | The Life Change Group 302 Stevens Entry Peachtree City GA 30269-1325 Ph: (770) 486-4887 |
| NPI Number | 1790159598 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790159598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PSY003202 (Georgia) | Primary |
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