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

Life Poured Out Services, Inc

Organization Professional Counselor · NPI 1174115539

Life Poured Out Services, Inc is a Professional Counselor in Hiram, Georgia. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3595 Hiram Douglasville Hwy Ste 108
Hiram, GA 30141-4963
Phone: (770) 635-7847
Fax: (910) 516-1336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1174115539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzett Blount — Therapist/Co-Founder · (718) 644-4998
Other names Life Poured Out Services, Inc.
NPI enumeratedFebruary 8, 2021
Last updated in NPPESDecember 8, 2021
Certification dateDecember 8, 2021
Mailing address3595 Hiram Douglasville Hwy Ste 108, Hiram, GA 30141-4963

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