Provider Demographics
NPI:1447011424
Name:TOTAL LIFE CARE COUNSELING
Entity type:Organization
Organization Name:TOTAL LIFE CARE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ELY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:404-671-9226
Mailing Address - Street 1:PO BOX 1218
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-1218
Mailing Address - Country:US
Mailing Address - Phone:404-671-9226
Mailing Address - Fax:770-978-7676
Practice Address - Street 1:1790 CENTURY BLVD NE STE A
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3322
Practice Address - Country:US
Practice Address - Phone:404-671-9226
Practice Address - Fax:770-978-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty