OrganizationActive
Life Changing Missionary Baptist
NPI 1104260462 · Voluntary or Charitable Agency · Columbus, GA
Provider details
- NPI number
- 1104260462
- Entity type
- Organization
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Parent organization
- Life Changing Missionary Baptist
- Organization subpart
- Yes
- Authorized official
- Tony Banks, Bishop/Pastor(706) 575-6090
Specialties & taxonomies
Agencies
Practice location
4605 Langdon St
Columbus, GA 31907-4050
Phone: (706) 575-6090
Fax: (706) 324-3577
Approximate (ZIP-level) locationGet directions
Mailing address
4605 Langdon St
Columbus, GA 31907-4050
Registry dates
- Enumerated
- 2013-04-17
- Last updated
- 2013-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.