| Valley Center For Life Pllc | |
|
600 Jackson St Ste B Roanoke Rapids NC 27870-2646 | |
| (252) 676-6636 | |
| Not Available |
| Full Name | Valley Center For Life Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 600 Jackson St Ste B, Roanoke Rapids, North Carolina |
| Authorized Official Name and Position | Brenna Braswell Carpenter (OWNER) |
| Authorized Official Contact | 2526766636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Center For Life Pllc 125 Mina St Roanoke Rapids NC 27870-9215 Ph: (252) 676-6636 | Valley Center For Life Pllc 600 Jackson St Ste B Roanoke Rapids NC 27870-2646 Ph: (252) 676-6636 |
| NPI Number | 1134945264 |
|---|---|
| Provider Enumeration Date | 11/22/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134945264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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