Organization
REHOBOTH COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAUNYA MARIE QUEEN-MELENDEZ LPC (OWNER/CLINICIAN)
(252) 332-8700
Entity
Organization
Contact information
Practice address
415 HOLLOMAN AVE E, AHOSKIE, NC 27910-2314
(252) 332-8700
Mailing address
PO BOX 57, AHOSKIE, NC 27910-0057
(252) 332-8700
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103958
—
NC
Enumeration date
01/05/2016
Last updated
01/05/2016
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