| Living Well Centre | |
|
1804 Mlk Jr Pkwy Suite 210 Durham NC 27707-3587 | |
| (919) 489-2254 | |
| Not Available |
| Full Name | Living Well Centre |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1804 Mlk Jr Pkwy, Durham, North Carolina |
| Authorized Official Name and Position | Delice Coffey (CEO) |
| Authorized Official Contact | 9194892254 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Centre 1804 Mlk Jr Pkwy Suite 210 Durham NC 27707-3587 Ph: (919) 489-2254 | Living Well Centre 1804 Mlk Jr Pkwy Suite 210 Durham NC 27707-3587 Ph: (919) 489-2254 |
| NPI Number | 1104040294 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 10/02/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104040294 | NPI | - | NPPES |
| 5905848 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1653 (North Carolina) | Primary |
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