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Organization
SAGESTONE PLLC
Active
Organization
SAGESTONE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMARA LIASCHENKO MA LPCA LCASA (PARTNER)
(252) 515-0557
Entity
Organization
Contact information
Practice address
8101 EMERALD DR STE B, EMERALD ISLE, NC 28594-2716
(252) 515-0557
Mailing address
PO BOX 5605, EMERALD ISLE, NC 28594-5605
(252) 515-0557
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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