Provider Demographics
NPI:1043785686
Name:WINNING LIFE COUNSELING AND COACHING PC
Entity Type:Organization
Organization Name:WINNING LIFE COUNSELING AND COACHING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-658-7352
Mailing Address - Street 1:6203 ABERCORN ST STE 108A
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5596
Mailing Address - Country:US
Mailing Address - Phone:912-658-7352
Mailing Address - Fax:
Practice Address - Street 1:6203 ABERCORN STREET SUITE 108A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-3140
Practice Address - Country:US
Practice Address - Phone:912-658-7352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health