| Life Skills Counseling, Pllc | |
|
204 N Person St Raleigh NC 27601-1047 | |
| (919) 833-2544 | |
| (919) 833-0939 |
| Full Name | Life Skills Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 204 N Person St, Raleigh, North Carolina |
| Authorized Official Name and Position | Tammy Worthington (QUALITY SERVICES DIRECTOR) |
| Authorized Official Contact | 9198332544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Skills Counseling, Pllc 204 N Person St Raleigh NC 27601-1047 Ph: (919) 833-2544 | Life Skills Counseling, Pllc 204 N Person St Raleigh NC 27601-1047 Ph: (919) 833-2544 |
| NPI Number | 1710025788 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710025788 | NPI | - | NPPES |
| 8300195B | Medicaid | NC | |
| 8300195G | Medicaid | NC | |
| 8300195H | Medicaid | NC | |
| 8300195 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL092637 (North Carolina) | Primary |
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