Organization
LIVING LIGHT HOLISTIC COUNSELING
Active
Other names
Living Light Holistic Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY NELSON MAXWELL LICSW, LPN, MSW (CEO)
(601) 896-5363
Entity
Organization
Contact information
Practice address
6114 RICKWOOD AVE, HUNTSVILLE, AL 35810
(256) 588-3989
Mailing address
9889 SW 54TH AVE, OCALA, FL 34476-8694
(601) 896-5363
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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