Organization
LIFESTYLE CONSULTANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YANET FERNANDEZ CERDA (OWNER)
(919) 341-1234
Entity
Organization
Contact information
Practice address
9204 FALLS OF NEUSE RD STE 110, RALEIGH, NC 27615-2479
(919) 341-1234
(919) 615-0779
Mailing address
9204 FALLS OF NEUSE RD STE 110, RALEIGH, NC 27615-2479
(919) 341-1234
(919) 615-0779
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2015
Last updated
07/27/2016
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