Organization
LIFEPATH HOLISTIC COUNSELING AND CONSULTING, PLLC.
Active
Other names
LifePath Holistic Counseling and Consulting, PLLC.
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY RENVILLE LCMHCA, NCC (LICENSED CLINICAL MENTAL HEALTH COU)
(704) 899-1555
Entity
Organization
Contact information
Practice address
104 WAXHAW PROFESSIONAL PARK DR STE D, WAXHAW, NC 28173-5020
(704) 899-1555
Mailing address
104 WAXHAW PROFESSIONAL PARK DR STE D, WAXHAW, NC 28173-5020
(704) 899-1555
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
04/15/2025
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