Organization
CLEARWATERS COUNSELING SERVICES, LLC
Active
Organization
CLEARWATERS COUNSELING SERVICES, LLC
Active
Other names
Clearwaters Counseling Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY W. LILES CPSS (CORPORATE COMPLIANCE OFFICER)
(704) 695-2391
Entity
Organization
Contact information
Practice address
34 W MAIN ST, HAMLET, NC 28345-3636
(170) 447-5644
(910) 448-9008
Mailing address
34 W MAIN ST, HAMLET, NC 28345-3636
(170) 447-5644
(910) 448-9008
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MHL-077-081
NC
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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