Organization
LIFE RECOVERY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MADONNA BROWN LPC (OWNER)
(919) 330-4576
Entity
Organization
Contact information
Practice address
1503-H WAYNE MEMORIAL DR, GOLDSBORO, NC 27534
(919) 330-4576
(919) 581-5017
Mailing address
PO BOX 10494, GOLDSBORO, NC 27532-0494
(919) 330-4576
(919) 581-5017
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104118
—
NC
Enumeration date
01/31/2014
Last updated
01/31/2014
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