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Organization
PROVIDENTIAL CARE: CENTER FOR MENTAL WELLNESS, PLLC
Active
Organization
PROVIDENTIAL CARE: CENTER FOR MENTAL WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RICHELLE LAFAYE SMALLWOOD LCSW (OWNER, CLINICIAN)
(252) 315-8081
Entity
Organization
Contact information
Practice address
3340B ELLSWORTH DR, GREENVILLE, NC 27834-4944
(252) 917-8182
Mailing address
PO BOX 30882, GREENVILLE, NC 27833-0882
(252) 917-8182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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