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Organization

PRIZMS CENTER FOR MINDBODY INTEGRATION LLC

Active
Other names
Prizms Counseling and Consulting Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE A MORETZ M.ED., LPC (DIRECTOR/PRESIDENT)
(336) 761-5071
Entity
Organization

Contact information

Practice address
115 N POPLAR ST, WINSTON SALEM, NC 27101-3741
(336) 761-5071
(336) 761-5071
Mailing address
PO BOX 20323, WINSTON SALEM, NC 27120-0323
(336) 761-5071
(336) 761-5071

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2490
NC

Other

Enumeration date
12/30/2008
Last updated
12/30/2008
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