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

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1972123362

Life Source Counseling & Consulting, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Jonesboro, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 N Ave Ste A
Jonesboro, GA 30236
Phone: (404) 372-8941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1972123362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephane Williams — Licensed Professional Counselor · (404) 372-8941
NPI enumeratedApril 25, 2020
Last updated in NPPESApril 25, 2020
Certification dateApril 25, 2020
Mailing addressP.O. Box 302, Rex, GA 30273-0302

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