| NPI | 1770232928 |
|---|---|
| Former Legal Business Name | LIVING LIGHT HOLISTIC COUNSELING |
| Entity Type | Organization |
| Authorized Contact | LILLY NELSON MAXWELL CEO 601-896-5363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |