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General NPI Number Information
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NPI Number | 1780552190
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Entity Type | Organization
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Legal Business Name | LIVING YOUR TRUTH COACHING AND CONSULTING
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 4500 FORT JACKSON BLVD STE 110
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City | COLUMBIA
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State | SC
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Zip | 29209-1134
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Country | US
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Telephone | 803-800-1868
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 FORT JACKSON BLVD STE 110
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City | COLUMBIA
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State | SC
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Zip | 29209-1134
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Country | US
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Telephone | 803-800-1868
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAYLENE ROSS
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Credential | LPC
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Telephone | 803-800-1868
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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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