Living Anew Wellness Center, Pllc | |
1830 Owen Dr Suite 10 Fayetteville NC 28304-1611 | |
(910) 745-8712 | |
(910) 705-8447 |
Full Name | Living Anew Wellness Center, Pllc |
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Speciality | Community/behavioral Health |
Location | 1830 Owen Dr, Fayetteville, North Carolina |
Authorized Official Name and Position | Dawn Staten Drakeford (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 9107285980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Living Anew Wellness Center, Pllc Po Box 42242 Fayetteville NC 28309-2242 Ph: (910) 578-0232 | Living Anew Wellness Center, Pllc 1830 Owen Dr Suite 10 Fayetteville NC 28304-1611 Ph: (910) 745-8712 |
NPI Number | 1437531043 |
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Provider Enumeration Date | 06/19/2015 |
Last Update Date | 04/24/2017 |
Identifier | Type | State | Issuer |
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1437531043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 11591 (North Carolina) | Primary |
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