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Organization

YOUR WAY LIFE COACHING & CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CONSTANCE EBOMAH MBA/HCM, CNLPMP, CBT (OWNER, DIRECTOR)
(980) 643-4030
Entity
Organization

Contact information

Practice address
530 E INNES ST STE 101, SALISBURY, NC 28144-5100
(980) 643-4030
Mailing address
530 E INNES ST STE 101, SALISBURY, NC 28144-5100
(980) 643-4030

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
104100000X
Social Worker
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency
405300000X
Prevention Professional

Other

Enumeration date
07/31/2019
Last updated
07/31/2019
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