| Shoreline Counseling Center, Pllc | |
|
4002 Executive Park Blvd Suite 600 Southport NC 28461-9069 | |
| (910) 540-9499 | |
| Not Available |
| Full Name | Shoreline Counseling Center, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4002 Executive Park Blvd, Southport, North Carolina |
| Authorized Official Name and Position | Anne M Henschel (OWNER/THERAPIST) |
| Authorized Official Contact | 9105409499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Counseling Center, Pllc 4002 Executive Park Blvd Suite 600 Southport NC 28461-9069 Ph: (910) 540-9499 | Shoreline Counseling Center, Pllc 4002 Executive Park Blvd Suite 600 Southport NC 28461-9069 Ph: (910) 540-9499 |
| NPI Number | 1174837652 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 07/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174837652 | NPI | - | NPPES |
| 4708 | Other | NC | LPC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4708 (North Carolina) | Primary |
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