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Organization
ROANOKE VALLEY SPECIAL SERVICES LLC
Active
Organization
ROANOKE VALLEY SPECIAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE L LEE (CEO/DIRECTOR)
(252) 536-0700
Entity
Organization
Contact information
Practice address
505 OLD HWY, GARYSBURG, NC 27831-0443
(252) 536-0700
(252) 536-0702
Mailing address
505 OLD HWY, GARYSBURG, NC 27831-0443
(252) 536-0700
(252) 536-0702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301881
—
NC
Enumeration date
02/01/2010
Last updated
02/01/2010
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