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

Lifestyle Therapy Center, LLC

Organization Professional Counselor · NPI 1780040576

Lifestyle Therapy Center, LLC provides Professional Counselor services 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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