Organization
SURE FOUNDATION BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALE BATTS SHIVER BA,MS,LCAS,CCS,MAC,S (CLINICAL DIRECTOR)
(252) 215-3089
Entity
Organization
Contact information
Practice address
3219 LANDMARK ST STE 3A, GREENVILLE, NC 27834-7688
(252) 215-3089
Mailing address
PO BOX 8211, GREENVILLE, NC 27835-8211
(252) 215-3089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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