| Life Skills Counseling, Pllc | |
|
500 Wait Ave Ste 4 Wake Forest NC 27587-2779 | |
| (919) 562-4659 | |
| (919) 562-4728 |
| Full Name | Life Skills Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Wait Ave Ste 4, Wake Forest, 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 500 Wait Ave Ste 4 Wake Forest NC 27587-2779 Ph: (919) 562-4659 |
| NPI Number | 1396945309 |
|---|---|
| Provider Enumeration Date | 07/19/2007 |
| Last Update Date | 07/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396945309 | NPI | - | NPPES |
| 8300584 | Medicaid | NC | |
| 8300584G | Medicaid | NC | |
| 8300584H | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL092635 (North Carolina) | Primary |
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