Organization
MANNAFULL COUNSELING AND CONSULTING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BROWN LILLY MS, NCC, LCMHC (CEO/COUNSELOR)
(919) 410-8385
Entity
Organization
Contact information
Practice address
8480 HONEYCUTT RD STE 200, RALEIGH, NC 27615-2261
(919) 410-8385
Mailing address
PO BOX 1643, WAKE FOREST, NC 27588-1643
(919) 410-8385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/18/2022
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