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Organization
LIFE CHANGES COUNSELING SERVICES
Active
Organization
LIFE CHANGES COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOQUITA DAWN ROBERTS MSW, LCSW (CEO)
(704) 451-8550
Entity
Organization
Contact information
Practice address
668 WITHROW RD, FOREST CITY, NC 28043-9695
(828) 286-4466
(828) 286-4450
Mailing address
3611 MOUNT HOLLY HUNTERSVILLE RD, SUITE 344, CHARLOTTE, NC 28216-8636
(704) 451-8550
(828) 286-4450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
COO4782P
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6002881
—
NC
Enumeration date
07/24/2007
Last updated
06/17/2008
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