Organization
INTENTIONAL LIVING COUNSELING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES PERKINS LCMHCA (OWNER/CEO)
(919) 306-0268
Entity
Organization
Contact information
Practice address
4205 WAKE FOREST RD STE 101C, RALEIGH, NC 27609-6246
(919) 307-6026
Mailing address
4312 WAKE FOREST RD STE C, RALEIGH, NC 27609-6163
(919) 307-6026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
08/28/2024
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