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LIFE INTERVENTION NETWORK CENTER
NPI 1588059232
Counselor - Mental Health in Ellenwood, GA

Active since March 31, 2015
2551 RIVER FOREST CT, ELLENWOOD, GA 30294(850) 264-5745 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Life Intervention Network Center NPPES

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

LIFE INTERVENTION NETWORK CENTER (NPI 1588059232) is a healthcare organization registered as a mental health in Ellenwood, Georgia and active in the NPI registry since March 2015. The organization lists Kelvin Brown, Mental Health/substance Abuse Couns, as its authorized official.

NPPES Registry Identity

NPI1588059232
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameLIFE INTERVENTION NETWORK CENTER
Location Address2551 RIVER FOREST CTEllenwood, GA 30294-1270
Mailing AddressPo Box 360975Decatur, GA 30036-0975 · (850) 264-5745
Phone(850) 264-5745
Organization SubpartNo
Authorized OfficialKelvin BrownMental Health/substance Abuse Couns · (850) 264-5745
Enumeration DateMarch 31, 2015
✔ NPI 1588059232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2551 RIVER FOREST CT, Ellenwood, GA 30294
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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 MULTIPLE SINGLE SPECIALTY GROUP

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 Intervention Network Center's NPI number?

The NPI number for Life Intervention Network Center is 1588059232. It was assigned to this organization in the NPPES registry on March 31, 2015.

Where is Life Intervention Network Center located?

Life Intervention Network Center is located at 2551 River Forest Ct, Ellenwood, GA 30294. The listed phone number is (850) 264-5745.

What is Life Intervention Network Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Life Intervention Network Center was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.