| Soulful Success Counseling | |
|
2555 Capitol Dr Ste 9 Creedmoor NC 27522-7398 | |
| (919) 764-4601 | |
| Not Available |
| Full Name | Soulful Success Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2555 Capitol Dr Ste 9, Creedmoor, North Carolina |
| Authorized Official Name and Position | Shannon Perry-smith (COUNSELOR) |
| Authorized Official Contact | 9197644601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulful Success Counseling 2555 Capitol Dr Ste 9 Creedmoor NC 27522-7398 Ph: (919) 764-4601 | Soulful Success Counseling 2555 Capitol Dr Ste 9 Creedmoor NC 27522-7398 Ph: (919) 764-4601 |
| NPI Number | 1477228153 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Certification Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477228153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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Creedmoor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-2558 Fax: 919-528-2971 | |
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Creedmoor Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2527 E Lyon Station Rd, Creedmoor, NC 27522 Phone: 919-528-2558 Fax: 919-528-2971 | |
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