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Organization
LIVING WELL CENTRE
Active
Organization
LIVING WELL CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DELICE COFFEY (CEO)
(919) 489-2254
Entity
Organization
Contact information
Practice address
1804 MLK JR PKWY, SUITE 210, DURHAM, NC 27707-3587
(919) 489-2254
Mailing address
1804 MLK JR PKWY, SUITE 210, DURHAM, NC 27707-3587
(919) 489-2254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1653
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905848
—
NC
Enumeration date
04/12/2007
Last updated
10/02/2007
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