P Praxis·MD
● Active Type 2 · Organization

Life Poured Out Services, Inc.

Community/Behavioral Health·Hiram, GA· NPI 1174115539 · Enumerated 2021 · 5 years on NPI
Life Poured Out Services, Inc. is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
5 years
Enumerated 2021-02-08
Primary specialty
Community/Behavioral Health
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blount
Therapist/co-Founder
Last NPPES update
2021-12-08
Source: monthly bulk 2026-05

How this organization compares

Across 2449 active community/behavioral health providers in Georgia.

NPI age
5 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2021 → 2026

2021-02Enumerated in NPPES
2021 2026

Where they practice

Primary practice location
3595 Hiram Douglasville Hwy Ste 108
Hiram, GA 301414963
📞 7706357847fax 9105161336
Mailing address
3595 Hiram Douglasville Hwy Ste 108
Hiram, GA 301414963
📞 7706357847fax 9105161336

Authorized official

Suzett Delicia Blount, LPC
Therapist/co-Founder
📞 7186444998

Specialties

  • Community/Behavioral Health Primary
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X
  • Counselor
    Definition to come...
    taxonomy 101YP2500X

Identifiers

TypeValueNotes
01 (GA) LPC011523 PROFESSIONAL

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Life Poured Out Services, Inc.
    Type code 3 recorded 2021-12-08

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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