Organization
CROWNED LIFE COUNSELING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA AFRODITE NICHOLE GRIFFIS LCMHCA (PSYCHOTHERAPIST)
(757) 831-1560
Entity
Organization
Contact information
Practice address
4920 WINDY HILL DR STE A, RALEIGH, NC 27609-5194
(757) 831-1560
Mailing address
4920 WINDY HILL DR STE A, RALEIGH, NC 27609-5194
(757) 831-1560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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