# INTEGRATIVE LIFESTYLE COUNSELING & CONSULTING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integrative Lifestyle Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164231924
- **Authorized official:** STEPHANIE WASHINGTON (OWNER/CEO)
- **Authorized official phone:** (252) 814-3708

## Contact information

- **Practice address:** 9041 SHENINGTON PL, CHARLOTTE, NC 28216-2183
- **Practice address phone:** (252) 814-3708
- **Mailing address:** 9041 SHENINGTON PL, CHARLOTTE, NC 28216-2183
- **Mailing address phone:** (252) 814-3708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2025
- **Last updated:** 01/06/2025