Organization
LIVING WELL INTERNATIONAL CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ORE GREEN LPC (COUNSELOR)
(919) 673-4221
Entity
Organization
Contact information
Practice address
5710 SIX FORKS RD, RALEIGH, NC 27609-8617
(919) 673-4221
(919) 301-8957
Mailing address
5155 PINEHALL WYND, RALEIGH, NC 27604-5825
(919) 673-4221
(919) 301-8957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104087
—
NC
Enumeration date
01/28/2010
Last updated
02/09/2015
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