LIFE SOURCE HEALING CENTER, INC
NPI 1306034806
Chiropractor in Athens, GA

Active since October 09, 2007
1492 PRINCE AVE, ATHENS, GA 30606(706) 369-3600(706) 208-0021 Get Directions Write a Review

NPPES record last updated: October 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Life Source Healing Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE SOURCE HEALING CENTER, INC (NPI 1306034806) is a healthcare organization registered as a chiropractor in Athens, Georgia and active in the NPI registry since October 2007. The organization lists Becky Laird, Owner, as its authorized official.

NPPES Registry Identity

NPI1306034806
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE SOURCE HEALING CENTER, INC
Location Address1492 PRINCE AVEAthens, GA 30606-2210
Mailing Address1492 Prince AveAthens, GA 30606-2210 · (706) 369-3600 · Fax (706) 208-0021
Fax(706) 208-0021
Organization SubpartNo
Authorized OfficialBecky LairdOwner · (706) 369-3600
Enumeration DateOctober 9, 2007
NPI 1306034806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in GA · CHIRO6863
Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

1492 PRINCE AVE, Athens, GA 30606

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1492 PRINCE AVE
ATHENS, GA 30606
Counselor (Professional)
1492 PRINCE AVE
ATHENS, GA 30606
Counselor (Professional)
1492 PRINCE AVE
ATHENS, GA 30606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Source Healing Center, Inc's NPI number?

The NPI number for Life Source Healing Center, Inc is 1306034806. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Life Source Healing Center, Inc located?

Life Source Healing Center, Inc is located at 1492 Prince Ave, Athens, GA 30606. The listed phone number is (706) 369-3600.

What is Life Source Healing Center, Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Life Source Healing Center, Inc was last updated on October 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.