Provider Demographics
NPI:1801604830
Name:LOVE AND LIGHT COUNSELING, PLLC
Entity type:Organization
Organization Name:LOVE AND LIGHT COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCMHC
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINTIYA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-445-3047
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28053-0445
Mailing Address - Country:US
Mailing Address - Phone:704-879-5743
Mailing Address - Fax:
Practice Address - Street 1:2630 SKYLAND DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28052-6033
Practice Address - Country:US
Practice Address - Phone:803-445-3047
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty