Healthcare Provider Details

I. General information

NPI: 1700450699
Provider Name (Legal Business Name): LIFE SPEAKS MOTIVATIONAL MANAGEMENT GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2021
Last Update Date: 03/20/2026
Certification Date: 03/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 MAIN ST STE 200
STONE MOUNTAIN GA
30083-3097
US

IV. Provider business mailing address

925 MAIN ST STE 200
STONE MOUNTAIN GA
30083-3097
US

V. Phone/Fax

Practice location:
  • Phone: 678-476-3775
  • Fax:
Mailing address:
  • Phone: 678-476-3775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: KAREN T SHIRLEY
Title or Position: OWNER
Credential: LIFE COACH
Phone: 678-476-3775