Providence Counseling Services, PLLC

Organization Active NPI Community/Behavioral Health Agency · Fuquay Varina, NC

NPI 1891087516 · NPPES record last updated May 12, 2011

Key facts

NPI
1891087516
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
6595 (NC)
Legal business name
PROVIDENCE COUNSELING SERVICES, PLLC
Practice address
1401 Ravensthorpe Dr
Fuquay Varina, NC 27526-7714
Phone
(919) 924-1221
Fax
(888) 470-4610
NPI assigned
May 12, 2011
Organization subpart
No

Authorized official

Name
Ms. Sarah Anne Lanza, M.A., LPC
Title
Clinical Director
Phone
(919) 924-1221

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6595 NC Yes

Addresses

Primary practice location

1401 Ravensthorpe Dr
Fuquay Varina, NC 27526-7714

Mailing address

1401 Ravensthorpe Dr
Fuquay Varina, NC 27526-7714
Phone (919) 924-1221

Other providers in Fuquay Varina, NC

All providers in Fuquay Varina, NC · Community/Behavioral Health Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.