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General NPI Number Information
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NPI Number | 1245187624
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Entity Type | Organization
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Legal Business Name | LIGHT OF LIFE COUNSELING, PLLC
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Dates
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Enumeration Date | 03/13/2026
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Last Update Date | 03/13/2026
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Provider Practice Location Address
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Address Line | 1451 S ELM EUGENE ST
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City | GREENSBORO
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State | NC
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Zip | 27406-2200
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Country | US
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Telephone | 336-209-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 508 HUNT FOREST CT
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City | PLEASANT GARDEN
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State | NC
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Zip | 27313-9748
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Country | US
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Telephone | 336-209-3439
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Fax | 336-209-3439
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Authorized Official
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Title or Position | LIC CLINICAL MENT HEALTH COUNSELOR
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Name | MEGAN D JORDAN
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Credential | LCMHCS
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Telephone | 336-209-3439
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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