| Full Life Counseling, Pllc | |
|
1066 W 4th St Suite 201 Winston Salem NC 27101-2434 | |
| (336) 923-7426 | |
| (704) 625-3617 |
| Full Name | Full Life Counseling, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1066 W 4th St, Winston Salem, North Carolina |
| Authorized Official Name and Position | Virginia H Mills (PRESIDENT) |
| Authorized Official Contact | 3369237426 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Life Counseling, Pllc 1066 W 4th St Suite 201 Winston Salem NC 27101-2434 Ph: (336) 923-7426 | Full Life Counseling, Pllc 1066 W 4th St Suite 201 Winston Salem NC 27101-2434 Ph: (336) 923-7426 |
| NPI Number | 1861625162 |
|---|---|
| Provider Enumeration Date | 09/02/2009 |
| Last Update Date | 06/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861625162 | NPI | - | NPPES |
| 1639334022 | Other | NC | NPPES |
| 1467603704 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2943 (North Carolina) | Primary |
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