| Total Life Counseling And Consulting Services | |
|
1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 | |
| (502) 528-1363 | |
| Not Available |
| Full Name | Total Life Counseling And Consulting Services |
|---|---|
| Speciality | Social Worker |
| Location | 1949 Goldsmith Ln Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Chauweda Smith (OWNER) |
| Authorized Official Contact | 5026150165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Life Counseling And Consulting Services 9918 Creek View Estates Dr Louisville KY 40291-5141 Ph: (502) 615-0106 | Total Life Counseling And Consulting Services 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 528-1363 |
| NPI Number | 1336706027 |
|---|---|
| Provider Enumeration Date | 05/29/2019 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 3072844828 |
|---|---|
| Medicare Enrollment ID | O20191009002991 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336706027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chauweda Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013140557 PECOS PAC ID: 8123350766 Enrollment ID: I20191030003364 |
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