Organization Name: | MORE TO LIFE COUNSELING LLC |
NPI Number: | 1033457148 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JONATHAN LEE (LMFT / OWNER) |
Mailing Address: | 351 Pascoe Blvd Suite 103h Bowling Green |
State: | KY US |
Postal Code: | 421046301 |
Phone Number: | 2707915933 |
Fax Number: | 2707210988 |
NPI Enumeration Date: | 01/24/2013 |
NPI Last Update Date: | 09/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |