Healthcare Provider Details

I. General information

NPI: 1831482678
Provider Name (Legal Business Name): LIFE WORKS COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2011
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

287 ROAD ATLANTA
BLOOMINGDALE GA
31302-4856
US

IV. Provider business mailing address

287 ROAD ATLANTA
BLOOMINGDALE GA
31302-4856
US

V. Phone/Fax

Practice location:
  • Phone: 720-828-2594
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MOLLIE BROWNE
Title or Position: OWNER
Credential: LMFT
Phone: 720-828-2594