| Life Wellness Counseling Pllc | |
|
100 Pavilion Way Ste E Southern Pines NC 28387-4560 | |
| (910) 638-6748 | |
| (910) 725-0289 |
| Full Name | Life Wellness Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 100 Pavilion Way Ste E, Southern Pines, North Carolina |
| Authorized Official Name and Position | Amber Bane Seneres (OWNER, PROVIDER) |
| Authorized Official Contact | 2526195451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Wellness Counseling Pllc 126 Racquet Ln Pinehurst NC 28374-7626 Ph: (252) 619-5451 | Life Wellness Counseling Pllc 100 Pavilion Way Ste E Southern Pines NC 28387-4560 Ph: (910) 638-6748 |
| NPI Number | 1164891149 |
|---|---|
| Provider Enumeration Date | 09/19/2015 |
| Last Update Date | 02/10/2021 |
| Certification Date | 02/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164891149 | NPI | - | NPPES |
| 1518215987 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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