# YOUR WAY LIFE COACHING & CONSULTING, LLC

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

## Provider details

- **NPI number:** 1568016111
- **Authorized official:** CONSTANCE EBOMAH MBA/HCM, CNLPMP, CBT (OWNER, DIRECTOR)
- **Authorized official phone:** (980) 643-4030

## Contact information

- **Practice address:** 530 E INNES ST STE 101, SALISBURY, NC 28144-5100
- **Practice address phone:** (980) 643-4030
- **Mailing address:** 530 E INNES ST STE 101, SALISBURY, NC 28144-5100
- **Mailing address phone:** (980) 643-4030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 405300000X | Prevention Professional | — | NULL | — |
| 405300000X | Prevention Professional | — | — | — |

## Other

- **Enumeration date:** 07/31/2019
- **Last updated:** 07/31/2019