# PRIME LIFE COUNSELING, LLC

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

## Provider details

- **NPI number:** 1659854081
- **Authorized official:** JENNIFER PRIMEAUX LCPC, NCC, ATR (OWNER/CLINICIAN)
- **Authorized official phone:** (316) 655-1376

## Contact information

- **Practice address:** 9350 E CORPORATE HILLS DR UNIT 780791, WICHITA, KS 67278-0100
- **Practice address phone:** (316) 655-1376
- **Mailing address:** 9350 E CORPORATE HILLS DR UNIT 780791, WICHITA, KS 67278-0100
- **Mailing address phone:** (316) 655-1376

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2018
- **Last updated:** 07/16/2021