MEDICARE: LOVE YOU LIFE COACHING AND COUNSELING CENTER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1720635717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE YOU LIFE COACHING AND COUNSELING CENTER

Provider Business Mailing Address
First Line	:	17702 MANCHESTER POINT LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-2093
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5870 HIGHWAY 6 N STE 311
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1857
Country	:	US
Telephone Number	:	832-736-4898
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA TITUS
Credential	:	LMFT, LCP
Telephone Number	:	832-736-4898

Provider Enumeration Date	:	08/23/2019
Last Update Date	:	11/17/2020

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