MEDICARE: LIFE INDUCING COUNSELING LLC

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	101YM0800X	Mental Health Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1710843735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFE INDUCING COUNSELING LLC

Provider Business Mailing Address
First Line	:	5400 LAUREL SPRINGS PKWY STE 203
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-6062
Country	:	US
Telephone Number	:	678-941-4855
Fax Number	:

Provider Business Practice Location Address
First Line	:	5400 LAUREL SPRINGS PKWY STE 203
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-6062
Country	:	US
Telephone Number	:	678-941-4855
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	HANEUL KIM
Credential	:	LCSW
Telephone Number	:	678-941-4855

Provider Enumeration Date	:	01/03/2026
Last Update Date	:	01/03/2026

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