Provider Demographics
NPI:1356487714
Name:THE LIFE'S STAR PROJECT INC.
Entity Type:Organization
Organization Name:THE LIFE'S STAR PROJECT INC.
Other - Org Name:BRIGHTSIDE ACADEMY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:404-624-4346
Mailing Address - Street 1:280 COBB PKWY S
Mailing Address - Street 2:SUITE 183
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-6501
Mailing Address - Country:US
Mailing Address - Phone:404-624-4346
Mailing Address - Fax:770-432-7034
Practice Address - Street 1:575 BOULEVARD SE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3464
Practice Address - Country:US
Practice Address - Phone:404-624-4346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty