| Radical Love & Liberation Counseling Pllc | |
|
1013 Remington Dr Clayton NC 27520-8176 | |
| (919) 862-3766 | |
| Not Available |
| Full Name | Radical Love & Liberation Counseling Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1013 Remington Dr, Clayton, North Carolina |
| Authorized Official Name and Position | Kevin B. Eason (DIRECTOR) |
| Authorized Official Contact | 9198623766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radical Love & Liberation Counseling Pllc 7283 Nc Highway 42 W Ste 102, #182 Raleigh NC 27603 Ph: (919) 862-3766 | Radical Love & Liberation Counseling Pllc 1013 Remington Dr Clayton NC 27520-8176 Ph: (919) 862-3766 |
| NPI Number | 1306683909 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306683909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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