| Seaside Legacy Counseling, Pllc | |
|
2761 Nc Highway 210 E Unit G #205 Hampstead NC 28443 | |
| (910) 297-1022 | |
| Not Available |
| Full Name | Seaside Legacy Counseling, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2761 Nc Highway 210 E Unit G #205, Hampstead, North Carolina |
| Authorized Official Name and Position | Kim Moses (OWNER) |
| Authorized Official Contact | 9102971022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Seaside Legacy Counseling, Pllc 2761 Nc Highway 210 E Unit G #205 Hampstead NC 28443 Ph: () - | Seaside Legacy Counseling, Pllc 2761 Nc Highway 210 E Unit G #205 Hampstead NC 28443 Ph: (910) 297-1022 |
| NPI Number | 1619689700 |
|---|---|
| Provider Enumeration Date | 12/20/2022 |
| Last Update Date | 01/09/2023 |
| Certification Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619689700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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