Provider Demographics
NPI:1700450699
Name:LIFE SPEAK MOTIVATIONAL MANAGEMENT LLC.
Entity Type:Organization
Organization Name:LIFE SPEAK MOTIVATIONAL MANAGEMENT LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIRLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LIFE COACH
Authorized Official - Phone:678-210-5252
Mailing Address - Street 1:5701 MABLETON PKWY SW STE 208
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-3364
Mailing Address - Country:US
Mailing Address - Phone:678-210-5252
Mailing Address - Fax:
Practice Address - Street 1:5701 MABLETON PKWY SW STE 208
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-3364
Practice Address - Country:US
Practice Address - Phone:678-210-5252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date: