Organization
PROMINENCE CONSULTING & THERAPUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY STRICKLAND MSW, LCAS, LCSWA, (EXECUTIVE DIRECTOR)
(919) 841-8679
Entity
Organization
Contact information
Practice address
4909 WATERS EDGE DR, 204, RALEIGH, NC 27606-2462
(919) 841-8679
Mailing address
4909 WATERS EDGE DR, 204, RALEIGH, NC 27606-2462
(919) 841-8679
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1577
NC
101YM0800X
Mental Health Counselor
1577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112149
—
NC
Enumeration date
02/17/2014
Last updated
02/17/2014
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