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Organization

THE PLACE TO HEAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CIARA MONIQUE SUROS LCAS, LCSWA, CSI (OWNER/CLINICIAN)
(803) 306-2458
Entity
Organization

Contact information

Practice address
136 CARBONTON RD STE 118, SANFORD, NC 27330-4000
(803) 306-2458
Mailing address
136 CARBONTON RD STE 118, SANFORD, NC 27330-4000
(803) 306-2458
(472) 202-4636

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist
251S00000X
Community/Behavioral Health Agency
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
363LF0000X
Family Nurse Practitioner

Other

Enumeration date
02/13/2024
Last updated
03/05/2025
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