Changing Lives Agency
Changing Lives Agency is a Preferred Provider Organization in Mableton, Georgia. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
5284 Floyd Rd SW Unit 2079Mableton, GA 30126-6120
Phone: (678) 396-1803
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|
Record details
| NPI number | 1457282980 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Boniat Jemison — Owner · (678) 396-1803 |
| NPI enumerated | May 25, 2026 |
| Last updated in NPPES | May 25, 2026 |
| Certification date | May 25, 2026 |
| Mailing address | 5284 Floyd Rd Sw Unit 2079, Mableton, GA 30126-6120 |