Provider Demographics
NPI:1205537412
Name:LIFE HOPE COUNSELING AND COACHING LLC
Entity type:Organization
Organization Name:LIFE HOPE COUNSELING AND COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SALINA
Authorized Official - Middle Name:T
Authorized Official - Last Name:BAAITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:478-216-6012
Mailing Address - Street 1:PO BOX 271
Mailing Address - Street 2:
Mailing Address - City:BONAIRE
Mailing Address - State:GA
Mailing Address - Zip Code:31005-0271
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 CORPORATE POINTE
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-3437
Practice Address - Country:US
Practice Address - Phone:954-607-9320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health