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Organization

CLEARWATERS COUNSELING SERVICES, LLC

Active
Parent organization
CLEARWATERS COUNSELING SERVICES, LLC
Other names
Clearwaters Counseling Services, LLC, Clearwaters Counseling Services, LLC, Clearwaters Counseling Services, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEARWATERS COUNSELING SERVICES, LLC
Authorized official
SHIRLEY W. LILES MS,ED (CORPORATE COMPLIANCE OFFICER)
(704) 695-2391
Entity
Organization

Contact information

Practice address
34 W MAIN ST, HAMLET, NC 28345-3636
(704) 475-6442
Mailing address
PO BOX 1367, HAMLET, NC 28345-1367
(704) 475-6442

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000
NO NUMBER
NC
01
00000000000000
NO NUMBERS
Enumeration date
11/02/2017
Last updated
06/16/2018
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