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Organization
WELLSPACE COUNSELING & CONSULTING
Active
Organization
WELLSPACE COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON SELLERS-HARTY MTS, MSW, LCSW (OWNER)
(336) 686-5838
Entity
Organization
Contact information
Practice address
105 E CENTER ST, SUITE B-11, MEBANE, NC 27302-2420
(336) 686-5838
Mailing address
105 E CENTER ST, SUITE B-11, MEBANE, NC 27302-2420
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006273
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007342
—
NC
Enumeration date
03/18/2016
Last updated
03/18/2016
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