Organization
BEAUTY IN BROKENNESS COUNSELING SOLUTIONS
Active
Organization
BEAUTY IN BROKENNESS COUNSELING SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TILLARY TICE LCSW (OWNER)
(904) 853-0564
Entity
Organization
Contact information
Practice address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(904) 853-0564
Mailing address
4801 GLENWOOD AVE STE 200, RALEIGH, NC 27612-3857
(904) 853-0564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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