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Organization
LIFE COUNSELING & CONSULTING SERVICES, LLC
Active
Organization
LIFE COUNSELING & CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY LANNERS (MANAGING MEMBER)
(702) 686-8865
Entity
Organization
Contact information
Practice address
312 N BROOKS ST, MANNING, SC 29102-3212
(702) 686-8865
(803) 620-1361
Mailing address
312 N BROOKS ST, MANNING, SC 29102-3212
(702) 686-8865
(803) 620-1361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1561
—
SC
Enumeration date
04/24/2019
Last updated
12/26/2019
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