# LIVING LIGHT HOLISTIC COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Living Light Holistic Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770232928
- **Authorized official:** LILLY NELSON MAXWELL LICSW, LPN, MSW (CEO)
- **Authorized official phone:** (601) 896-5363

## Contact information

- **Practice address:** 6114 RICKWOOD AVE, HUNTSVILLE, AL 35810
- **Practice address phone:** (256) 588-3989
- **Mailing address:** 9889 SW 54TH AVE, OCALA, FL 34476-8694
- **Mailing address phone:** (601) 896-5363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 03/23/2022