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LIFE SOURCE COUNSELING & CONSULTING, LLC
NPI 1972123362
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jonesboro, GA

Active since April 25, 2020
118 NORTH AVENUE, SUITE A, JONESBORO, GA 30236(404) 372-8941 Get Directions Write a Review

NPPES record last updated: April 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Life Source Counseling & Consulting, Llc NPPES

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

LIFE SOURCE COUNSELING & CONSULTING, LLC (NPI 1972123362) is a healthcare organization registered as a mental health (including community mental health center) in Jonesboro, Georgia and active in the NPI registry since April 2020. The organization lists Stephane Evette Williams, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1972123362
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLIFE SOURCE COUNSELING & CONSULTING, LLC
Location Address118 NORTH AVENUE, SUITE AJonesboro, GA 30236
Mailing AddressP.o. Box 302Rex, GA 30273-0302 · (404) 372-8941
Phone(404) 372-8941
Organization SubpartNo
Authorized OfficialStephane Evette WilliamsLicensed Professional Counselor · (404) 372-8941
Enumeration DateApril 25, 2020
NPPES CertifiedApril 25, 2020
✔ NPI 1972123362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
118 NORTH AVENUE, SUITE A, Jonesboro, GA 30236
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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 Source Counseling & Consulting, LLC's NPI number?

The NPI number for Life Source Counseling & Consulting, LLC is 1972123362. It was assigned to this organization in the NPPES registry on April 25, 2020.

Where is Life Source Counseling & Consulting, LLC located?

Life Source Counseling & Consulting, LLC is located at 118 North Avenue, Suite A, Jonesboro, GA 30236. The listed phone number is (404) 372-8941.

What is Life Source Counseling & Consulting, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Life Source Counseling & Consulting, LLC was last updated on April 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.