Provider Demographics
NPI:1821870817
Name:LIFE WORK COUNSELING, LLC
Entity Type:Organization
Organization Name:LIFE WORK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CALEB
Authorized Official - Last Name:CHEAVENS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPC
Authorized Official - Phone:573-808-5573
Mailing Address - Street 1:PO BOX 1904
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65205-1904
Mailing Address - Country:US
Mailing Address - Phone:573-808-5573
Mailing Address - Fax:
Practice Address - Street 1:414 E BROADWAY STE 201B
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-4489
Practice Address - Country:US
Practice Address - Phone:573-808-5573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty