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LIFESTYLE THERAPY CENTER, LLC
NPI 1780040576
Counselor - Professional in Riverdale, GA

Active since January 08, 2016
150 MEDICAL WAY, SUITE F1, RIVERDALE, GA 30274(404) 709-8373 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifestyle Therapy Center, Llc NPPES

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

LIFESTYLE THERAPY CENTER, LLC (NPI 1780040576) is a healthcare organization registered as a professional in Riverdale, Georgia and active in the NPI registry since January 2016. The organization lists Amanda Holloway, Lpc, as its authorized official.

NPPES Registry Identity

NPI1780040576
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIFESTYLE THERAPY CENTER, LLC
Location Address150 MEDICAL WAY, SUITE F1Riverdale, GA 30274-2533
Mailing Address150 Medical Way, Suite F1Riverdale, GA 30274-2533
Phone(404) 709-8373
Organization SubpartNo
Authorized OfficialAmanda HollowayLpc · (404) 709-8373
Enumeration DateJanuary 8, 2016
Last NPPES UpdateMay 21, 2020
✔ NPI 1780040576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC008361
150 MEDICAL WAY, Riverdale, GA 30274
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES 12

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

SADRUDIN J SARANGI, MD.,PC
Internal Medicine (Rheumatology)
150 MEDICAL WAY, SUITE B 1
RIVERDALE, GA 30274
Clayton County (770) 991-1600
AMANDA HOLLOWAY
Counselor (Professional)
150 MEDICAL WAY
RIVERDALE, GA 30274
Clayton County (404) 709-8373
SADRUDIN J SARANGI M D
Internal Medicine (Rheumatology)
150 MEDICAL WAY, SUITE B - 1
RIVERDALE, GA 30274
Clayton County (770) 991-1600
CAMERON DEWITT BARHAM MSPT
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Clayton County (770) 991-2747
AMBER THOMAS BURNS PT, DPT
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Clayton County (770) 991-4747
TRACI POPE JORDAN PT, DPT
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Clayton County (770) 991-2747
MARIA ANJANETTE COSTALES NUNEZ PT
Physical Therapist
150 MEDICAL WAY, STE E1
RIVERDALE, GA 30274
Clayton County (770) 991-2747
BENCHMARK PHYSICAL THERAPY INC
Physical Therapist
150 MEDICAL WAY, SUITE E1
RIVERDALE, GA 30274
Clayton County (770) 991-2747

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 Lifestyle Therapy Center, LLC's NPI number?

The NPI number for Lifestyle Therapy Center, LLC is 1780040576. It was assigned to this organization in the NPPES registry on January 8, 2016.

Where is Lifestyle Therapy Center, LLC located?

Lifestyle Therapy Center, LLC is located at 150 Medical Way Suite F1, Riverdale, GA 30274. The listed phone number is (404) 709-8373.

What is Lifestyle Therapy Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Lifestyle Therapy Center, LLC was last updated on May 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.