| Organization Name: | THE LIFE COUNSELING CENTER PA |
| NPI Number: | 1003001447 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATHAN HAAS (BUSINESS ADMINISTRATOR) |
| Mailing Address: | 124 Life Way Clyde |
| State: | NC US |
| Postal Code: | 287216540 |
| Phone Number: | 8286475433 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2007 |
| NPI Last Update Date: | 09/10/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | MHL-044-042 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |