| Living Well International Center, Pc | |
|
5710 Six Forks Rd Raleigh NC 27609-8617 | |
| (919) 673-4221 | |
| (919) 301-8957 |
| Full Name | Living Well International Center, Pc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5710 Six Forks Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Angela Ore Green (COUNSELOR) |
| Authorized Official Contact | 9196734221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well International Center, Pc 5155 Pinehall Wynd Raleigh NC 27604-5825 Ph: (919) 673-4221 | Living Well International Center, Pc 5710 Six Forks Rd Raleigh NC 27609-8617 Ph: (919) 673-4221 |
| NPI Number | 1417288580 |
|---|---|
| Provider Enumeration Date | 01/28/2010 |
| Last Update Date | 02/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417288580 | NPI | - | NPPES |
| 6104087 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 7229 (North Carolina) | Primary |
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