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Organization
CAST AWAY COUNSELING SERVICES, PLLC
Active
Organization
CAST AWAY COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL HOLMAN L.C.S.W. (OWNER/THERAPIST)
(910) 603-3362
Entity
Organization
Contact information
Practice address
292 HOFFMAN RD, WEST END, NC 27376-9046
(910) 603-3362
Mailing address
131 AMPERSAND DR, SUITE 10, ABERDEEN, NC 28315-8937
(910) 603-3362
(877) 371-4735
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
C007363
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007917
—
NC
Enumeration date
01/04/2012
Last updated
01/04/2012
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