| Haven Of Rest Counseling, Pllc | |
|
101 W South Railroad Street Four Oaks NC 27524 | |
| (919) 631-2483 | |
| (919) 882-1802 |
| Full Name | Haven Of Rest Counseling, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 101 W South Railroad Street, Four Oaks, North Carolina |
| Authorized Official Name and Position | Anecia Brooks Lee (OWNER) |
| Authorized Official Contact | 9196312483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Of Rest Counseling, Pllc 601 Hayes Rd Four Oaks NC 27524-9502 Ph: (919) 631-2483 | Haven Of Rest Counseling, Pllc 101 W South Railroad Street Four Oaks NC 27524 Ph: (919) 631-2483 |
| NPI Number | 1831608215 |
|---|---|
| Provider Enumeration Date | 09/28/2017 |
| Last Update Date | 09/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831608215 | NPI | - | NPPES |
| 6115072 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | S8449 (North Carolina) | Primary |
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