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Organization
VILLAGE SPECIALIZED CONSULTATIVE SERVICES, LLC
Active
Organization
VILLAGE SPECIALIZED CONSULTATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH W NEWTON MS, CCC-SLP (MEMBER/OWNER)
(919) 637-0655
Entity
Organization
Contact information
Practice address
1504 SAGE TREE DR, ZEBULON, NC 27597-6082
(919) 413-8030
Mailing address
1504 SAGE TREE DR, ZEBULON, NC 27597-6082
(919) 413-8030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
222Q00000X
Developmental Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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