MISTER LIFE COACH
NPI 1508391756
Community Based Residential Treatment Facility, Mental Illness in Decatur, GA

Active since April 25, 2017
3681 N DECATUR RD APT R11, DECATUR, GA 30032(631) 553-7131 Get Directions Write a Review

NPPES record last updated: April 25, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mister Life Coach NPPES

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

MISTER LIFE COACH (NPI 1508391756) is a healthcare organization registered as a community based residential treatment facility, mental illness in Decatur, Georgia and active in the NPI registry since April 2017. The organization lists Robert Green, Life Coach, as its authorized official.

NPPES Registry Identity

NPI1508391756
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMISTER LIFE COACH
Location Address3681 N DECATUR RD APT R11Decatur, GA 30032-1062
Mailing AddressPo Box 283Rex, GA 30273-0283 · (631) 553-7131
Organization SubpartNo
Authorized OfficialRobert GreenLife Coach · (631) 553-7131
Enumeration DateApril 25, 2017
NPI 1508391756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3681 N DECATUR RD APT R11, Decatur, GA 30032

Other Providers at the Same Location NPPES

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

Residential Treatment Facility, Emotionally Disturbed Children
3681 N DECATUR RD APT R11
DECATUR, GA 30032

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 Mister Life Coach's NPI number?

The NPI number for Mister Life Coach is 1508391756. It was assigned to this organization in the NPPES registry on April 25, 2017.

Where is Mister Life Coach located?

Mister Life Coach is located at 3681 N Decatur Rd Apt R11, Decatur, GA 30032. The listed phone number is (631) 553-7131.

What is Mister Life Coach's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Mister Life Coach was last updated on April 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.