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

The Life Source Group Inc

Organization Mental Health Counselor · NPI 1801606462

The Life Source Group Inc is a Mental Health Counselor in Columbus, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
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

1425 Wynnton Rd Ste A
Columbus, GA 31906-5718
Phone: (706) 984-0215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Psychologist Taxonomy 103T00000X
Clinical Psychologist Taxonomy 103TC0700X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X
Psychiatry Physician Taxonomy 2084P0800X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1801606462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lateasha Skinner — Owner · (706) 984-0215
NPI enumeratedJanuary 7, 2025
Last updated in NPPESJanuary 7, 2025
Certification dateJanuary 7, 2025
Mailing address1425 Wynnton Rd Ste A, Columbus, GA 31906-5718

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