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Organization
MY GUIDING LIGHT PLLC
Active
Organization
MY GUIDING LIGHT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARIE LAWRENCE LCMHC (THERAPIST/OWNER)
(252) 227-9373
Entity
Organization
Contact information
Practice address
1412 DUNBROOK DR, WINTERVILLE, NC 28590-5812
(252) 227-9373
Mailing address
3141 N CONTENTNEA ST, FARMVILLE, NC 27828-1477
(252) 320-6868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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