Provider Demographics
NPI:1306628409
Name:LIFE STREAMS COUNSELING, PLLC
Entity type:Organization
Organization Name:LIFE STREAMS COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR /LCMHCA
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:CHARMAYNE
Authorized Official - Last Name:CUFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:MACC
Authorized Official - Phone:980-332-8400
Mailing Address - Street 1:7427 MATTHEWS MINT HILL RD STE 105-327
Mailing Address - Street 2:
Mailing Address - City:MINT HILL
Mailing Address - State:NC
Mailing Address - Zip Code:28227-7862
Mailing Address - Country:US
Mailing Address - Phone:980-332-8400
Mailing Address - Fax:980-332-8500
Practice Address - Street 1:7427 MATTHEWS MINT HILL RD STE 105-327
Practice Address - Street 2:
Practice Address - City:MINT HILL
Practice Address - State:NC
Practice Address - Zip Code:28227-7862
Practice Address - Country:US
Practice Address - Phone:980-332-8400
Practice Address - Fax:980-332-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty