Organization
THE LIFE COUNSELING CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOUGLAS MARKS LMFT (OWNER/CEO)
(828) 283-3872
Entity
Organization
Contact information
Practice address
124 LIFE WAY, CLYDE, NC 28721-6540
(828) 627-5433
(828) 627-8888
Mailing address
247 MULLIGAN DRIVE, CLYDE, NC 28721-4401
(828) 593-7926
(828) 627-8888
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MHL-044-042
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005180
—
NC
Enumeration date
10/31/2006
Last updated
07/27/2020
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