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

Lifestyle Therapy Center, LLC

Organization Professional Counselor · NPI 1780040576

Lifestyle Therapy Center, LLC is a Professional Counselor in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
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

150 Medical Way Ste F1
Riverdale, GA 30274-2533
Phone: (404) 709-8373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC008361 (GA)

Record details

NPI number1780040576
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Holloway — Lpc · (404) 709-8373
NPI enumeratedJanuary 8, 2016
Last updated in NPPESMay 21, 2020
Mailing address150 Medical Way, Suite F1, Riverdale, GA 30274-2533

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