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Organization
PROVIDENCE COUNSELING SERVICES, PLLC
Active
Organization
PROVIDENCE COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH ANNE LANZA M.A., LPC (CLINICAL DIRECTOR)
(919) 924-1221
Entity
Organization
Contact information
Practice address
1401 RAVENSTHORPE DR, FUQUAY VARINA, NC 27526-7714
(919) 924-1221
(888) 470-4610
Mailing address
1401 RAVENSTHORPE DR, FUQUAY VARINA, NC 27526-7714
(919) 924-1221
(888) 470-4610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6595
NC
Other
Enumeration date
05/12/2011
Last updated
05/12/2011
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