Life Poured Out Services, Inc.

LBN: Life Poured Out Services, Inc.
Life Poured Out Services, Inc. is an health care organization with primary practice located at 3595 Hiram Douglasville Hwy Ste 108 , Hiram GA 30141-4963. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Life Poured Out Services, Inc. can be contacted via phone (770) 635-7847, or through Blount, Suzett Delicia via phone (718) 644-4998.

Contact Information

Primary practice address
3595 Hiram Douglasville Hwy Ste 108 Hiram GA 30141-4963
Phone: (770) 635-7847
Fax: (910) 516-1336
Website:
Map and Directions
Authorized official contact:
Name: Blount, Suzett Delicia Licensed Professional Counselor (LPC)
Phone: (718) 644-4998

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1174115539
LBN Legal business name Life Poured Out Services, Inc.
DBA Doing business as Life Poured Out Services, Inc.
Authorized official Blount, Suzett Delicia Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2021
Last updated Dec 8th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174115539 NPPES
Georgia Other LPC011523 PROFESSIONAL

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