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Organization
LIVING LIGHT HOLISTIC COUNSELING
Active
Organization
LIVING LIGHT HOLISTIC COUNSELING
Active
Other names
Living Light Holistic Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY NELSON MAXWELL LICSW, LPN, MSW (CEO)
(601) 896-5363
Entity
Organization
Contact information
Practice address
6114 RICKWOOD AVE, HUNTSVILLE, AL 35810
(256) 588-3989
Mailing address
9889 SW 54TH AVE, OCALA, FL 34476-8694
(601) 896-5363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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