Organization
EASTERSEALSUCP-ASAP INC
Active
Other names
AREA SERVICES AND PROGRAMS INC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA G SULLIVAN (DIRECTOR OF SUPPORT SERVICES)
(919) 784-9182
Entity
Organization
Contact information
Practice address
318 TURNERSBURG HWY, STATESVILLE, NC 28625-2798
(704) 402-1060
(704) 402-1065
Mailing address
134 WIND CHIME CT, RALEIGH, NC 27615-6433
(919) 784-9182
(919) 784-9184
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902828
—
NC
Enumeration date
12/15/2006
Last updated
08/22/2020
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