Organization
PROVIDENCE COUNSELING SERVICES
Active
Organization
PROVIDENCE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SARAH ANNE LANZA MA, LPC (PARTNER/CLINICAL DIRECTOR)
(919) 924-1221
Entity
Organization
Contact information
Practice address
1401 RAVENSTHORPE DR, FUQUAY VARINA, NC 27526-7714
(919) 924-1221
Mailing address
1600 SPENNYMORE RD, RALEIGH, NC 27603-9234
(919) 772-4490
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6595
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103669
—
NC
Enumeration date
02/19/2010
Last updated
02/19/2010
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