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Organization
LIGHT FOR YOUR PATH ANXIETY AND MENTAL HEALTH COUNSELING PLLC
Active
Organization
LIGHT FOR YOUR PATH ANXIETY AND MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE ANN MILLER LCMHC (OWNER)
(919) 306-0188
Entity
Organization
Contact information
Practice address
230 W MILLBROOK RD, RALEIGH, NC 27609-4304
(919) 763-1700
Mailing address
230 W MILLBROOK RD, RALEIGH, NC 27609-4304
(919) 763-1700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699030866
—
NC
Enumeration date
07/15/2024
Last updated
07/15/2024
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