Provider Demographics
NPI:1043950231
Name:HELLO LIFE COUNSELING COLLECTIVE INC
Entity Type:Organization
Organization Name:HELLO LIFE COUNSELING COLLECTIVE INC
Other - Org Name:HELLO LIFE COUNSELING COLLECTIVE INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:CREAMER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:951-399-2902
Mailing Address - Street 1:1302 WATSON BLVD # 1010
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3436
Mailing Address - Country:US
Mailing Address - Phone:951-399-2902
Mailing Address - Fax:
Practice Address - Street 1:1302 WATSON BLVD
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3436
Practice Address - Country:US
Practice Address - Phone:951-399-2902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2023-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1689051807OtherNPI