Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pastoral |
101YP1600X | |||
Counselor |
101Y00000X |
| NPI Number | 1407265705 |
| LBN Legal business name | LIFE CHANGING CHRISTIAN COUNSELING |
| Authorized official | LOIS GROSVENOR - (PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/12/2014 |
| Last updated | 12/28/2020 - About 5 years ago |
| Identifiers | n/a |
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