Life Poured Out Services, Inc.

NPI #1174115539 in Hiram, Georgia

Provider Information

NPI Number
1174115539
Entity Type
Organization
Organization Name
Life Poured Out Services, Inc.
Primary Specialty
Community/Behavioral Health
Enumeration Date
Feb 8, 2021
Last Updated
Dec 8, 2021

Practice Location

Address
3595 HIRAM DOUGLASVILLE HWY STE 108
City
Hiram
State
Georgia
ZIP Code
30141-4963
Phone
(770) 635-7847

Authorized Official

Name
MRS. SUZETT DELICIA BLOUNT, LPC
Title
THERAPIST/CO-FOUNDER
Phone
(718) 644-4998

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Community/Behavioral Health

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