Organization
LAKEISHA WARD
Active
Other names
The Gathering Place Wellness and Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
LAKEISHA NICOLE WARD (OWNER)
(252) 314-7503
Entity
Organization
Contact information
Practice address
2221 W RALEIGH BLVD STE 117, ROCKY MOUNT, NC 27803-2745
(252) 227-0833
(252) 862-2788
Mailing address
617 WEATHERVANE WAY, ROCKY MOUNT, NC 27803-8736
(252) 314-7503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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