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Organization

LIFESCAPES COUNSELING ASSOCIATES, PLLC

Active
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Organization

LIFESCAPES COUNSELING ASSOCIATES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. AMY BENTON MOULDS M.ED., NCC, LPC (PRACTICE DIRECTOR & OWNER)
(919) 303-0273
Entity
Organization

Contact information

Practice address
800 W WILLIAMS ST, SUITE 251, APEX, NC 27502-5203
(919) 303-0273
(919) 303-5986
Mailing address
800 W WILLIAMS ST, SUITE 251, APEX, NC 27502-5203
(919) 303-0273
(919) 303-5986

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC0018
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015E4
BCBS GROUP PROVIDER ID
NC
Enumeration date
01/02/2007
Last updated
07/12/2011
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