Provider Demographics
NPI:1326747031
Name:LOVE AND LIGHT COUNSELING LLC
Entity Type:Organization
Organization Name:LOVE AND LIGHT COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:FONG
Authorized Official - Last Name:SWINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP, PC
Authorized Official - Phone:402-578-5140
Mailing Address - Street 1:2514 S 152ND AVENUE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-1912
Mailing Address - Country:US
Mailing Address - Phone:402-578-5140
Mailing Address - Fax:
Practice Address - Street 1:11207 W DODGE RD STE 250
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2650
Practice Address - Country:US
Practice Address - Phone:402-578-5140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-01
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty