| Clearwaters Counseling Services, Llc | |
|
34 W Main St Hamlet NC 28345-3636 | |
| (170) 447-5644 | |
| (910) 448-9008 |
| Full Name | Clearwaters Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 34 W Main St, Hamlet, North Carolina |
| Authorized Official Name and Position | Shirley W. Liles (CORPORATE COMPLIANCE OFFICER) |
| Authorized Official Contact | 7046952391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwaters Counseling Services, Llc 34 W Main St Hamlet NC 28345-3636 Ph: (170) 447-5644 | Clearwaters Counseling Services, Llc 34 W Main St Hamlet NC 28345-3636 Ph: (170) 447-5644 |
| NPI Number | 1770075368 |
|---|---|
| Provider Enumeration Date | 05/31/2018 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770075368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | MHL-077-081 (North Carolina) | Primary |
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