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Organization
SURE FOUNDATION BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
SURE FOUNDATION BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE BATTS SHIVER BA,MS,LCAS,CCS,MAC,S (CLINICAL DIRECTOR)
(252) 215-3089
Entity
Organization
Contact information
Practice address
3219 LANDMARK ST STE 3A, GREENVILLE, NC 27834-7688
(252) 215-3089
Mailing address
PO BOX 8211, GREENVILLE, NC 27835-8211
(252) 215-3089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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