Organization
LIFESTYLE CHANGES AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISHEMA BOLEY LPC-S (LPC)
(318) 805-2992
Entity
Organization
Contact information
Practice address
2252 TOWER DR STE 108, MONROE, LA 71201-5765
(318) 805-2992
Mailing address
2252 TOWER DR STE 108, MONROE, LA 71201-5765
(318) 805-2992
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/27/2022
Last updated
03/28/2023
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