Provider Demographics
NPI:1730541772
Name:LIFE MATTERS PROFESSIONAL COUNSELING, PLLC
Entity type:Organization
Organization Name:LIFE MATTERS PROFESSIONAL COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRAMLICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:828-342-0546
Mailing Address - Street 1:PO BOX 94
Mailing Address - Street 2:
Mailing Address - City:SCALY MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28775-0094
Mailing Address - Country:US
Mailing Address - Phone:828-342-0546
Mailing Address - Fax:
Practice Address - Street 1:348 S 5TH ST
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7002
Practice Address - Country:US
Practice Address - Phone:828-342-0546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-28
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty