Life Skills Counseling, Pllc | |
721 Tucker St Raleigh NC 27603-1248 | |
(919) 833-8862 | |
(919) 833-8595 |
Full Name | Life Skills Counseling, Pllc |
---|---|
Speciality | Community/behavioral Health |
Location | 721 Tucker 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 721 Tucker St Raleigh NC 27603-1248 Ph: (919) 833-8862 |
NPI Number | 1780884791 |
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Provider Enumeration Date | 07/19/2007 |
Last Update Date | 07/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780884791 | NPI | - | NPPES |
8300583 | Medicaid | NC | |
8300583H | Medicaid | NC | |
8300583G | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MHL092636 (North Carolina) | Primary |
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