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Organization

BLUE ROSE COUNSELING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA RAY LOVELADY LCSW, LCAS, CSI (EXECUTIVE DIRECTOR)
(919) 612-1213
Entity
Organization

Contact information

Practice address
1415 W NC HIGHWAY 54 STE 111, DURHAM, NC 27707-5597
(919) 612-1213
(919) 287-2245
Mailing address
3710 SHANNON RD UNIT 52054, DURHAM, NC 27717-0750
(919) 612-1213
(919) 287-2245

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083080592
NPPES
NC
Enumeration date
10/22/2021
Last updated
02/02/2024
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