MISTER LIFE COACH
NPI 1619403219
Residential Treatment Facility, Emotionally Disturbed Children in Decatur, GA

Q: What is Mister Life Coach's NPI number?

The NPI number for Mister Life Coach is 1619403219. It was assigned to this organization in the NPPES registry on May 3, 2017.

Q: What is Mister Life Coach's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mister Life Coach was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 03, 2017

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

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mister Life Coach NPPES

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

MISTER LIFE COACH (NPI 1619403219) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Decatur, Georgia and active in the NPI registry since May 2017. The organization lists Robert Green, Life Coach, as its authorized official.

NPPES Registry Identity

NPI1619403219

Entity TypeOrganization

Primary Taxonomy322D00000X

Legal Business NameMISTER LIFE COACH

Location Address3681 N DECATUR RD APT R11Decatur, GA 30032-1062

Mailing AddressPo Box 283Rex, GA 30273-0283

Phone(631) 553-7131

Organization SubpartNo

Authorized OfficialRobert GreenLife Coach · (631) 553-7131

Enumeration DateMay 3, 2017

✔ NPI 1619403219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities

Taxonomy Code322D00000X

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

3681 N DECATUR RD APT R11, Decatur, GA 30032

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Other Providers at the Same Location NPPES

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

MISTER LIFE COACH

Community Based Residential Treatment Facility, Mental Illness

3681 N DECATUR RD APT R11
DECATUR, GA 30032

Dekalb County (631) 553-7131

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 1619403219. It was assigned to this organization in the NPPES registry on May 3, 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 Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Mister Life Coach was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.