Organization
DREAMS TO LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHURONDIA C WILLIAMS MSW, LCSW-A (CEO)
(252) 915-8403
Entity
Organization
Contact information
Practice address
112 W WINDER ST, HENDERSON, NC 27536-4239
(252) 915-8403
Mailing address
404 N GARNETT ST, HENDERSON, NC 27536-4368
(252) 915-8403
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/12/2024
Last updated
06/19/2024
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