NPI 1134355910

Life Evolutions Behavioral Health Care, LLC

Organisation Early Intervention Provider Agency Decatur, GA

Practice location

Address: 2598 N Decatur Rd, Decatur, GA 30033-6118
Phone: (404) 636-5346
Mailing address: PO Box 83339, Conyers, GA 30013-8019

Authorised official

Name: Atasha Murray
Title: Owner/Executive Director
Phone: (404) 636-4346

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence SLP006065 (GA)

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Registry record

NPI: 1134355910
Entity type: Organization
NPI issued: 7 Jun 2009
Record last updated: 7 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.