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Organization
VIDA COUNSELING, PLLC
Active
Organization
VIDA COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELOISA PORTELA PHD, LPCS, ACS, RPTS (LICENSED PROFESSIONAL COUNSELOR SUP)
(919) 368-5207
Entity
Organization
Contact information
Practice address
6512 SIX FORKS RD, SUITE 403B, RALEIGH, NC 27615-6561
(919) 368-5207
Mailing address
6512 SIX FORKS RD, SUITE 403B, RALEIGH, NC 27615-6561
(919) 368-5207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCS 4935
NC
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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