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General NPI Number Information
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NPI Number | 1275499493
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Entity Type | Organization
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Legal Business Name | LIFE WORKS COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 4710 BROWNS MILL LN
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City | STONECREST
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State | GA
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Zip | 30038-4664
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Country | US
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Telephone | 228-596-8125
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Fax |
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Provider Business Mailing Address
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Address Line | 13660 TARA HILLS CIR
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City | GULFPORT
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State | MS
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Zip | 39503-2331
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Country | US
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Telephone | 228-596-8125
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND LEAD THERAPIST
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Name | MRS. COURTNEY DEFLANDERS
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Credential | LPC, CPCS, NCC, NCSA
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Telephone | 228-596-8125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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