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Organization
SOULFUL SUCCESS COUNSELING
Active
Organization
SOULFUL SUCCESS COUNSELING
Active
Other names
Soulful Success Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON PERRY-SMITH LCMHC-A, LCAS (COUNSELOR)
(919) 764-4601
Entity
Organization
Contact information
Practice address
2555 CAPITOL DR STE 9, CREEDMOOR, NC 27522-7398
(919) 764-4601
Mailing address
2555 CAPITOL DR STE 9, CREEDMOOR, NC 27522-7398
(919) 764-4601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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