| NPI | 1073219770 |
|---|---|
| Former Legal Business Name | LIFE INTENSITY COUNSELING & CASE MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | MONICA RENEA GRAY Owner 469-708-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 171400000X Health & Wellness Coach | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2024-12-30 |