Organization
CULTIVATING WELLNESS THERAPEUTIC & CONSULTING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMONIA LAY BARRETT MSW, LCSW (OWNER)
(919) 225-8242
Entity
Organization
Contact information
Practice address
1415 WEST HIGHWAY 54, 300-214, DURHAM, NC 27707
(919) 408-7686
(919) 646-5011
Mailing address
1305 CORWITH DR, MORRISVILLE, NC 27560-9545
(919) 408-7686
(919) 646-5011
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487995296
—
NC
Enumeration date
04/03/2020
Last updated
04/03/2020
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