Lifeway Training Institute Co

NPI #1003568817 in Cairo, Georgia

Provider Information

NPI Number: 1003568817
Entity Type: Organization
Organization Name: Lifeway Training Institute Co
Primary Specialty: Nurse Practitioner - Psychiatric/Mental Health
Enumeration Date: Jan 23, 2022
Last Updated: Aug 25, 2022

Practice Location

Address: 410 4TH ST SE
City: Cairo
State: Georgia
ZIP Code: 39828-2775
Phone: (229) 403-9964

Authorized Official

Name: MRS. JULENE DOROTHY SMITH, PMHNP-BC
Title: OWNER
Phone: (229) 403-9964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health	363LP0808X	Primary

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