Organization
MANE SOURCE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL M MEOLA (SUPERVISOR)
(508) 971-2668
Entity
Organization
Contact information
Practice address
1035C DIRECTOR CT, GREENVILLE, NC 27858-5996
(508) 971-2668
Mailing address
1035C DIRECTOR CT, GREENVILLE, NC 27858-5996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/20/2019
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