LIFE CHANGES COUNSELING AND CONSULTANT SERVICES, LLC
NPI 1407467434
Community/Behavioral Health in Atlanta, GA

Active since August 13, 2020CLIA 11D2247629 · Waiver
1003 VIRGINIA AVE STE 104, ATLANTA, GA 30354(404) 500-1994 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Life Changes Counseling And Consultant Services, Llc NPPES

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

LIFE CHANGES COUNSELING AND CONSULTANT SERVICES, LLC (NPI 1407467434) is a healthcare organization registered as a community/behavioral health in Atlanta, Georgia and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through January 6, 2028 and lists Terence Wilkins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407467434
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIFE CHANGES COUNSELING AND CONSULTANT SERVICES, LLC
Location Address1003 VIRGINIA AVE STE 104Atlanta, GA 30354-1366
Mailing Address1003 Virginia Ave Ste 104Atlanta, GA 30354-1366 · (404) 500-1994
Organization SubpartNo
Authorized OfficialTerence WilkinsCeo · (609) 743-1773
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
NPI 1407467434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCase ManagementTaxonomy 251B00000X
1003 VIRGINIA AVE STE 104, Atlanta, GA 30354

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2247629

Life Changes Counseling And Consulting Svcs · Atlanta, GA
Active · expires Jan 6, 2028
CLIA Number11D2247629
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 7, 2026
Certificate Expiration DateJanuary 6, 2028
Laboratory DirectorTerence T. Wilkins
Laboratory Phone(404) 500-1994
Laboratory LocationLife Changes Counseling And Consulting Svcs1003 Virginia Avenue, Suite 104, Atlanta, GA 30354
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Psychologist (Counseling)
1003 VIRGINIA AVE STE 104
ATLANTA, GA 30354

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 Changes Counseling And Consultant Services, LLC's NPI number?

The NPI number for Life Changes Counseling And Consultant Services, LLC is 1407467434. It was assigned to this organization in the NPPES registry on August 13, 2020.

Where is Life Changes Counseling And Consultant Services, LLC located?

Life Changes Counseling And Consultant Services, LLC is located at 1003 Virginia Ave Ste 104, Atlanta, GA 30354. The listed phone number is (404) 500-1994.

What is Life Changes Counseling And Consultant Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Life Changes Counseling And Consultant Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2247629) is associated with this NPI, valid through January 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Life Changes Counseling And Consultant Services, LLC was last updated on August 13, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.