Organization
LIFETIME COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIRLEY EVON TAYBRON M.ED, LPCS, NBCC (PROFESSIONAL COUNSELOR/OWNER)
(910) 864-0390
Entity
Organization
Contact information
Practice address
916 ARSENAL AVE, B, FAYETTEVILLE, NC 28305-5328
(910) 864-0390
(910) 864-0396
Mailing address
916 ARSENAL AVE, B, FAYETTEVILLE, NC 28305-5328
(910) 864-0390
(910) 864-0396
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
S2018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103617
—
NC
Enumeration date
03/19/2015
Last updated
03/19/2015
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