Organization
FULL LIFE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA H MILLS LPC, LCAS (PRESIDENT)
(336) 923-7426
Entity
Organization
Contact information
Practice address
1066 W 4TH ST, SUITE 201, WINSTON SALEM, NC 27101-2434
(336) 923-7426
(704) 625-3617
Mailing address
1066 W 4TH ST, SUITE 201, WINSTON SALEM, NC 27101-2434
(336) 923-7426
(704) 625-3617
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2943
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467603704
NPPES
—
01
—
1639334022
NPPES
NC
Enumeration date
09/02/2009
Last updated
06/06/2013
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