Organization · Type 2 NPI

Life Interrupted Counseling Services

Mental Health Counselor · Charlotte, NC

NPI number 1609433291 Active

Practice location

4045 N Tryon St Ste A
Charlotte, NC 28206

Call (980) 404-1069 Map

Fax (877) 766-6203

Mailing address

516 Highland Ridge Pt
Clover, SC 29710-5507

Other practice locations

  • 516 Highland Ridge Pt, Clover, SC 29710-5507 · (980) 404-1069

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1609433291

Life Interrupted Counseling Services's National Provider Identifier is 1609433291, issued on May 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charlotte, NC. The record was last updated on Jun 11, 2019.