| Lifetime Counseling Services, Pllc | |
|
916 Arsenal Ave B Fayetteville NC 28305-5328 | |
| (910) 864-0390 | |
| (910) 864-0396 |
| Full Name | Lifetime Counseling Services, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 916 Arsenal Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | Shirley Evon Taybron (PROFESSIONAL COUNSELOR/OWNER) |
| Authorized Official Contact | 9108640390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Counseling Services, Pllc 916 Arsenal Ave B Fayetteville NC 28305-5328 Ph: (910) 864-0390 | Lifetime Counseling Services, Pllc 916 Arsenal Ave B Fayetteville NC 28305-5328 Ph: (910) 864-0390 |
| NPI Number | 1023402823 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023402823 | NPI | - | NPPES |
| 6103617 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | S2018 (North Carolina) | Primary |
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