Organization
AVALON COUNSELING CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ORR BELK LCSW (MANAGER)
(919) 468-9122
Entity
Organization
Contact information
Practice address
1230 SE MAYNARD RD STE 204, CARY, NC 27511-6945
(919) 468-9122
(919) 468-9122
Mailing address
1230 SE MAYNARD RD STE 204, CARY, NC 27511-6945
(919) 468-9122
(919) 468-9122
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014WR
BLUE CROSS
NC
05
—
6005211
—
NC
01
—
A8774
MEDCOST PREFERRED
NC
Enumeration date
03/15/2007
Last updated
07/29/2009
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