Organization
LIFE CHANGING SOLUTIONS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YAKEIA FULLENWINDER (LICENSED PROFESSIONAL COUNSELOR)
(864) 680-9189
Entity
Organization
Contact information
Practice address
269 S CHURCH ST STE 205, SPARTANBURG, SC 29306-3483
(864) 680-9189
Mailing address
319 LOCKPORT WAY, SPARTANBURG, SC 29301-5971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6693
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8157
—
SC
05
—
GP8165
—
SC
05
—
PC1880
—
SC
Enumeration date
12/07/2017
Last updated
03/30/2018
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