| Southerland Treatment And Rehab(star) Counseling&consulting Svcs, Pllc | |
|
206 Fair Oaks Ln Winston Salem NC 27127-3178 | |
| (336) 745-7179 | |
| (336) 842-3055 |
| Full Name | Southerland Treatment And Rehab(star) Counseling&consulting Svcs, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 206 Fair Oaks Ln, Winston Salem, North Carolina |
| Authorized Official Name and Position | Timeka A Southerland (OWNER/LPCS) |
| Authorized Official Contact | 3367457179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southerland Treatment And Rehab(star) Counseling&consulting Svcs, Pllc 206 Fair Oaks Ln Winston Salem NC 27127-3178 Ph: (336) 745-7179 | Southerland Treatment And Rehab(star) Counseling&consulting Svcs, Pllc 206 Fair Oaks Ln Winston Salem NC 27127-3178 Ph: (336) 745-7179 |
| NPI Number | 1396215737 |
|---|---|
| Provider Enumeration Date | 11/28/2018 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396215737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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