Provider Demographics
NPI:1477357887
Name:LIFE HEALING COUNSELING, LLC
Entity type:Organization
Organization Name:LIFE HEALING COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOLLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCAS, CSAT, CPTT
Authorized Official - Phone:704-236-5994
Mailing Address - Street 1:7421 CARMEL EXECUTIVE PARK DR STE 214
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226-0412
Mailing Address - Country:US
Mailing Address - Phone:980-655-4838
Mailing Address - Fax:
Practice Address - Street 1:7421 CARMEL EXECUTIVE PARK DR STE 214
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-0412
Practice Address - Country:US
Practice Address - Phone:980-655-4838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty