Life Changing Solutions Group, Llc | |
269 S Church St Ste 205 Spartanburg SC 29306-3483 | |
(864) 680-9189 | |
Not Available |
Full Name | Life Changing Solutions Group, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 269 S Church St Ste 205, Spartanburg, South Carolina |
Authorized Official Name and Position | Yakeia Fullenwinder (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 8646809189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Changing Solutions Group, Llc 319 Lockport Way Spartanburg SC 29301-5971 Ph: () - | Life Changing Solutions Group, Llc 269 S Church St Ste 205 Spartanburg SC 29306-3483 Ph: (864) 680-9189 |
NPI Number | 1538674940 |
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Provider Enumeration Date | 12/07/2017 |
Last Update Date | 03/30/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538674940 | NPI | - | NPPES |
GP8157 | Medicaid | SC | |
GP8165 | Medicaid | SC | |
PC1880 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6693 (South Carolina) | Primary |
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