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General NPI Number Information
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NPI Number | 1801604830
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Entity Type | Organization
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Legal Business Name | LOVE AND LIGHT COUNSELING, PLLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 2630 SKYLAND DR
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City | GASTONIA
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State | NC
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Zip | 28052-6033
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Country | US
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Telephone | 803-445-3047
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 445
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City | GASTONIA
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State | NC
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Zip | 28053-0445
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Country | US
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Telephone | 704-879-5743
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Fax |
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Authorized Official
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Title or Position | LCMHC
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Name | MISS LINTIYA D MCCLEARY
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Credential |
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Telephone | 803-445-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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