Healthcare Provider Details

I. General information

NPI: 1386589810
Provider Name (Legal Business Name): LMA COMMUNITY BASED CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 WYNNTON RD STE A
COLUMBUS GA
31906-5718
US

IV. Provider business mailing address

1425 WYNNTON RD STE A
COLUMBUS GA
31906-5718
US

V. Phone/Fax

Practice location:
  • Phone: 706-984-0215
  • Fax:
Mailing address:
  • Phone: 706-984-0215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LATEASHA SKINNER
Title or Position: CO/PARTNER
Credential: LPC
Phone: 706-984-0215