Organization
ESUPPORT, PLLC
Active
Other names
Lifeologie Counseling Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH A GRADY LCMHCS (OWNER)
(919) 900-7552
Entity
Organization
Contact information
Practice address
3901 BARRETT DR STE 100, RALEIGH, NC 27609-6523
(919) 900-7552
Mailing address
3901 BARRETT DR STE 100, RALEIGH, NC 27609-6523
(919) 900-7552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S7963
NC
Other
Enumeration date
06/18/2017
Last updated
07/16/2020
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