Organization
CLEARSCREEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOMMEL HAYES LCSW, LCAS (OWNER)
(252) 234-5921
Entity
Organization
Contact information
Practice address
121 NASH ST W, WILSON, NC 27893-4012
(252) 234-5921
(888) 386-3166
Mailing address
121 NASH ST W, WILSON, NC 27893-4012
(252) 234-5921
(888) 386-3166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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