# LIFE CRAFTERS, LLC

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

## Provider details

- **NPI number:** 1871196675
- **Authorized official:** MS. MADISON LEIGH WALLACE LPCC (CEO)
- **Authorized official phone:** (859) 630-7760

## Contact information

- **Practice address:** 535 W SECOND ST STE L110, LEXINGTON, KY 40508-9002
- **Practice address phone:** (859) 630-7760
- **Mailing address:** 369 W VINE ST APT 1906, LEXINGTON, KY 40507-1697
- **Mailing address phone:** (859) 630-7760

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2020
- **Last updated:** 11/17/2020
