Organization
BREAKING BARRIERS WELLNESS AND COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARECIUS SAMUEL LPC (CEO/MENTAL HEALTH CLINICIAN)
(919) 559-5568
Entity
Organization
Contact information
Practice address
5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
(919) 559-5568
(919) 371-5599
Mailing address
5540 CENTERVIEW DR STE 200, RALEIGH, NC 27606-3386
(919) 559-5568
(919) 371-5599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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