Organization
PROLIFIC LIFE SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIA DIANE MORGAN LCSW, LCAS-A (CHIEF EXECUTIVE OFFICER)
(704) 516-1261
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(704) 516-1261
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(704) 516-1261
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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