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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