Provider Demographics
NPI:1245950419
Name:LIFE TO THE FULL COUNSELING, INC.
Entity type:Organization
Organization Name:LIFE TO THE FULL COUNSELING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:MAPC, LMHC
Authorized Official - Phone:219-200-2076
Mailing Address - Street 1:7037 E 117TH AVE
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-8611
Mailing Address - Country:US
Mailing Address - Phone:219-200-2076
Mailing Address - Fax:
Practice Address - Street 1:7037 E 117TH AVE
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-8611
Practice Address - Country:US
Practice Address - Phone:219-200-2076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty