Organization
HAVEN OF REST COUNSELING, PLLC
Active
Organization
HAVEN OF REST COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANECIA BROOKS LEE LPCS (OWNER)
(919) 631-2483
Entity
Organization
Contact information
Practice address
101 W SOUTH RAILROAD STREET, FOUR OAKS, NC 27524
(919) 631-2483
(919) 882-1802
Mailing address
601 HAYES RD, FOUR OAKS, NC 27524-9502
(919) 631-2483
(919) 882-1802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
S8449
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6115072
—
NC
Enumeration date
09/28/2017
Last updated
09/28/2017
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