P Praxis·MD
● Active Type 2 · Organization

Life Source Counseling & Consulting, Llc

Clinic/Center·Jonesboro, GA· NPI 1972123362 · Enumerated 2020 · 6 years on NPI
Life Source Counseling & Consulting, Llc is 1 of 662 clinic/center organizations in Georgia.
NPI age
6 years
Enumerated 2020-04-25
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Licensed Professional Counselor
Last NPPES update
2020-04-25
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
6 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2020 → 2026

2020-04Enumerated in NPPES
2020 2026

Where they practice

Primary practice location
118 North Avenue, Suite A
Jonesboro, GA 30236
📞 4043728941
Mailing address
P.o. Box 302
Rex, GA 302730302
📞 4043728941

Authorized official

Stephane Evette Williams, LPC
Licensed Professional Counselor
📞 4043728941

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

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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