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Organization
MIRROR 2 THE HEART, PLLC
Active
Organization
MIRROR 2 THE HEART, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE NICHOL BRISCOE LCMHC (CEO)
(980) 859-3331
Entity
Organization
Contact information
Practice address
4311 SCHOOL HOUSE CMNS # 178, HARRISBURG, NC 28075-7510
(980) 859-3331
(888) 730-1933
Mailing address
4311 SCHOOL HOUSE CMNS # 178, HARRISBURG, NC 28075-7510
(980) 859-3331
(888) 730-1933
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10549
NC
101YM0800X
Mental Health Counselor
10549
NC
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
10549
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689097701
—
NC
Enumeration date
05/04/2016
Last updated
03/30/2022
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