| Prominence Consulting & Theraputic Services Llc | |
|
4909 Waters Edge Dr 204 Raleigh NC 27606-2462 | |
| (919) 841-8679 | |
| Not Available |
| Full Name | Prominence Consulting & Theraputic Services Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 4909 Waters Edge Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Courtney Strickland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9198418679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prominence Consulting & Theraputic Services Llc 4909 Waters Edge Dr 204 Raleigh NC 27606-2462 Ph: (919) 841-8679 | Prominence Consulting & Theraputic Services Llc 4909 Waters Edge Dr 204 Raleigh NC 27606-2462 Ph: (919) 841-8679 |
| NPI Number | 1649694357 |
|---|---|
| Provider Enumeration Date | 02/17/2014 |
| Last Update Date | 02/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649694357 | NPI | - | NPPES |
| 6112149 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1577 (North Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 1577 (North Carolina) | Secondary |
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