Provider Demographics
NPI:1780552190
Name:LIVING YOUR TRUTH COACHING AND CONSULTING
Entity type:Organization
Organization Name:LIVING YOUR TRUTH COACHING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RAYLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-800-1868
Mailing Address - Street 1:4500 FORT JACKSON BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-1134
Mailing Address - Country:US
Mailing Address - Phone:803-800-1868
Mailing Address - Fax:
Practice Address - Street 1:4500 FORT JACKSON BLVD STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1134
Practice Address - Country:US
Practice Address - Phone:803-800-1868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-27
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty