Lifestyle Therapy Center, LLC

NPI #1780040576 in Riverdale, Georgia

Provider Information

NPI Number: 1780040576
Entity Type: Organization
Organization Name: Lifestyle Therapy Center, LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Jan 8, 2016
Last Updated: May 21, 2020

Practice Location

Address: 150 MEDICAL WAY
Address 2: SUITE F1
City: Riverdale
State: Georgia
ZIP Code: 30274-2533
Phone: (404) 709-8373

Authorized Official

Name: AMANDA HOLLOWAY
Title: LPC
Phone: (404) 709-8373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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