Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Life Intervention Network Center

Organization Mental Health Counselor · NPI 1588059232

Life Intervention Network Center provides Mental Health Counselor services in Ellenwood, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2551 River Forest Ct
Ellenwood, GA 30294-1270 Not confirmed with CMS for 11 years — call before visiting
Phone: (850) 264-5745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1588059232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelvin Brown — Mental Health/Substance Abuse Couns · (850) 264-5745
NPI enumeratedMarch 31, 2015
Last updated in NPPESMarch 31, 2015
Mailing addressPo Box 360975, Decatur, GA 30036-0975

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