| Providence Counseling Services, Pllc | |
|
1401 Ravensthorpe Dr Fuquay Varina NC 27526-7714 | |
| (919) 924-1221 | |
| (888) 470-4610 |
| Full Name | Providence Counseling Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1401 Ravensthorpe Dr, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Sarah Anne Lanza (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9199241221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Counseling Services, Pllc 1401 Ravensthorpe Dr Fuquay Varina NC 27526-7714 Ph: (919) 924-1221 | Providence Counseling Services, Pllc 1401 Ravensthorpe Dr Fuquay Varina NC 27526-7714 Ph: (919) 924-1221 |
| NPI Number | 1891087516 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891087516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6595 (North Carolina) | Primary |
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