OrganizationActive
1life Counseling and Consulting LLC
NPI 1639995350 · Clinical Social Worker · Fayetteville, GA
Provider details
- NPI number
- 1639995350
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Alphonso Mckibbins, Owner(678) 670-5180
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
170 Atkins Ln
Fayetteville, GA 30215-8003
Phone: (678) 670-5180
Approximate (ZIP-level) locationGet directions
Mailing address
170 Atkins Ln
Fayetteville, GA 30215-8003
Registry dates
- Enumerated
- 2024-11-26
- Last updated
- 2024-11-26
- Certified
- 2024-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.