Organization
NATIONAL OUTREACH AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARSHIA COSTELLA DONNELL (OWNER)
(336) 669-8181
Entity
Organization
Contact information
Practice address
404 CHESTER AVE, GREAT FALLS, SC 29055-1206
(336) 669-8181
(888) 909-9868
Mailing address
200 MUIRS CHAPEL RD STE 100, GREENSBORO, NC 27410-6115
(336) 669-8181
(888) 909-9868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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