Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Life Intervention Network Center

Organization Mental Health Counselor · NPI 1588059232

Life Intervention Network Center is a Mental Health Counselor 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
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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