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Organization
WELL-LIFE COUNSELING & SPIRITUAL CENTER
Active
Organization
WELL-LIFE COUNSELING & SPIRITUAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMECA D RICKS LCSW (OWNER)
(252) 557-3901
Entity
Organization
Contact information
Practice address
301 S CHURCH ST STE 254, ROCKY MOUNT, NC 27804-5749
(252) 557-3901
Mailing address
301 S CHURCH ST STE 254, ROCKY MOUNT, NC 27804-5749
(252) 557-3901
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009720
NC
261QM1300X
Multi-Specialty Clinic/Center
—
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Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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