Lifepath Holistic Counseling And Consulting, Pllc. | |
104 Waxhaw Professional Park Dr Ste D Waxhaw NC 28173-5020 | |
(704) 899-1555 | |
Not Available |
Full Name | Lifepath Holistic Counseling And Consulting, Pllc. |
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Speciality | Counselor - Professional |
Location | 104 Waxhaw Professional Park Dr Ste D, Waxhaw, North Carolina |
Authorized Official Name and Position | Jenny Renville (LICENSED CLINICAL MENTAL HEALTH COU) |
Authorized Official Contact | 7048991555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lifepath Holistic Counseling And Consulting, Pllc. 104 Waxhaw Professional Park Dr Ste D Waxhaw NC 28173-5020 Ph: (704) 899-1555 | Lifepath Holistic Counseling And Consulting, Pllc. 104 Waxhaw Professional Park Dr Ste D Waxhaw NC 28173-5020 Ph: (704) 899-1555 |
NPI Number | 1083338032 |
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Provider Enumeration Date | 10/03/2022 |
Last Update Date | 04/15/2025 |
Certification Date | 04/15/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083338032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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