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Organization
LIFE TIDE COUNSELING PC
Active
Organization
LIFE TIDE COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A. SHEPARD LMFT (PRESIDENT)
(910) 326-8881
Entity
Organization
Contact information
Practice address
205 WARD RD, SUITE 1, SWANSBORO, NC 28584-8259
(910) 326-8881
(910) 326-2342
Mailing address
PO BOX 1216, SWANSBORO, NC 28584-1216
(910) 326-8881
(910) 326-2342
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
755
NC
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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