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Organization
LAKEISHA WARD
Active
Organization
LAKEISHA WARD
Active
Other names
The Gathering Place Wellness and Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA NICOLE WARD (OWNER)
(252) 314-7503
Entity
Organization
Contact information
Practice address
2221 W RALEIGH BLVD STE 117, ROCKY MOUNT, NC 27803-2745
(252) 227-0833
(252) 862-2788
Mailing address
617 WEATHERVANE WAY, ROCKY MOUNT, NC 27803-8736
(252) 314-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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