| Life Counseling & Consulting Services, Llc | |
|
312 N Brooks St Manning SC 29102-3212 | |
| (702) 686-8865 | |
| (803) 620-1361 |
| Full Name | Life Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 312 N Brooks St, Manning, South Carolina |
| Authorized Official Name and Position | Tracy Lanners (MANAGING MEMBER) |
| Authorized Official Contact | 7026868865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Counseling & Consulting Services, Llc 312 N Brooks St Manning SC 29102-3212 Ph: (702) 686-8865 | Life Counseling & Consulting Services, Llc 312 N Brooks St Manning SC 29102-3212 Ph: (702) 686-8865 |
| NPI Number | 1427612563 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 12/26/2019 |
| Certification Date | 12/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427612563 | NPI | - | NPPES |
| SW1561 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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