Healthcare Provider Details

I. General information

NPI: 1124785613
Provider Name (Legal Business Name): TOTAL LIFE COUNSELING & WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 EAGLES LANDING PKWY
STOCKBRIDGE GA
30281-5092
US

IV. Provider business mailing address

950 EAGLES LANDING PKWY # 720
STOCKBRIDGE GA
30281-7343
US

V. Phone/Fax

Practice location:
  • Phone: 404-449-8621
  • Fax: 404-446-0971
Mailing address:
  • Phone: 404-449-8621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: MS. KARYN L. KING
Title or Position: THERAPIST
Credential: LPC, CPCS
Phone: 404-449-8621