MEDICARE: HELLO LIFE COUNSELING COLLECTIVE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1689051807	OTHER	CA	NPI

General Provider Information

NPI Number	:	1043950231
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELLO LIFE COUNSELING COLLECTIVE INC

Provider Business Mailing Address
First Line	:	1302 WATSON BLVD # 1010
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3436
Country	:	US
Telephone Number	:	951-399-2902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 WATSON BLVD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3436
Country	:	US
Telephone Number	:	951-399-2902
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AMBER CREAMER
Credential	:	MS
Telephone Number	:	951-399-2902

Provider Enumeration Date	:	03/29/2022
Last Update Date	:	09/24/2023

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