Mister Life Coach

LBN: Mister Life Coach
Mister Life Coach is an health care organization with primary practice located at 3681 N Decatur Rd Apt R11 , Decatur GA 30032-1062. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Mister Life Coach can be contacted via phone (631) 553-7131, or through Green, Robert via phone (631) 553-7131.

Contact Information

Primary practice address
3681 N Decatur Rd Apt R11 Decatur GA 30032-1062
Phone: (631) 553-7131
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Robert
Phone: (631) 553-7131

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1619403219
LBN Legal business name Mister Life Coach
DBA Doing business as
Authorized official Green, Robert
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2017
Last updated May 3rd, 2017 - about 8 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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