Organization
A NEW START SUPPORT SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ARLINDA KAY RODRIQUEZ B.A. (OWNER/ADMINISTRATOR)
(919) 550-2629
Entity
Organization
Contact information
Practice address
935 SHOTWELL RD STE 104A, CLAYTON, NC 27520-5597
(919) 550-2629
(919) 550-6429
Mailing address
935 SHOTWELL RD STE 104A, CLAYTON, NC 27520-5597
(919) 550-2629
(919) 550-6429
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
C005804
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
09/18/2009
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