# LIFE IMPROVEMENT COUNSELING CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427371426
- **Authorized official:** MISS PATRICIA ROSE (CONTRACTING SPECIALIST)
- **Authorized official phone:** (502) 489-7122

## Contact information

- **Practice address:** 418 WATT STREET, JEFFERSONVILLE, IN 47130
- **Practice address phone:** (812) 288-8030
- **Practice address fax:** (812) 288-8032
- **Mailing address:** 418 WATT STREET, JEFFERSONVILLE, IN 47130
- **Mailing address phone:** (812) 288-8030
- **Mailing address fax:** (812) 288-8032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2010
- **Last updated:** 03/04/2010