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NPI Code Detail

MEDICARE: ESSENCE OF SUCCESS LIFE COACHING & COUNSELING, LLC

MEDICARE: ESSENCE OF SUCCESS LIFE COACHING & COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1609710359
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENCE OF SUCCESS LIFE COACHING & COUNSELING, LLC
Provider Business Mailing Address
First Line : 304 GREYTHORNE DR
Second Line :
City : KATHLEEN
State : GA
Zip : 31047-2899
Country : US
Telephone Number : 478-365-0847
Fax Number : 478-551-3359
Provider Business Practice Location Address
First Line : 2525 MOODY RD STE 122
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-6110
Country : US
Telephone Number : 478-365-0847
Fax Number : 478-551-3359
Authorized Official
Title or Position : OWNER/THERAPIST
Name : TIFFANY D MILBOURNE-JAMES
Credential : LCSW
Telephone Number : 478-365-0847
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ESSENCE OF SUCCESS LIFE COACHING & COUNSELING, LLC ” Practice Location

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