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Organization
BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC
Active
Organization
BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN S. DAWSON (EXECUTIVE DIRECTOR)
(252) 537-7575
Entity
Organization
Contact information
Practice address
1165 GREGORY DR, ROANOKE RAPIDS, NC 27870-6442
(252) 537-7575
(252) 537-9008
Mailing address
PO BOX 86, ROANOKE RAPIDS, NC 27870-0086
(252) 537-7575
(252) 537-9008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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