Provider Demographics
NPI:1316114804
Name:LIFE CHOICES COUNSELING, PLLC
Entity type:Organization
Organization Name:LIFE CHOICES COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAPP-SPANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-877-3434
Mailing Address - Street 1:9334 JASPAR CREST LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-5161
Mailing Address - Country:US
Mailing Address - Phone:704-877-3434
Mailing Address - Fax:704-875-6290
Practice Address - Street 1:9334 JASPAR CREST LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-5161
Practice Address - Country:US
Practice Address - Phone:704-877-3434
Practice Address - Fax:704-875-6290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6836101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty