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Organization

LIFE WELLNESS COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMBER BANE SENERES LCMHC (OWNER, PROVIDER)
(252) 619-5451
Entity
Organization

Contact information

Practice address
100 PAVILION WAY STE E, SOUTHERN PINES, NC 28387-4560
(910) 638-6748
(910) 725-0289
Mailing address
126 RACQUET LN, PINEHURST, NC 28374-7626
(252) 619-5451
(910) 725-0289

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518215987
NC
Enumeration date
09/19/2015
Last updated
02/10/2021
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