Organization · Type 2 NPI

Clearwaters Counseling Services, LLC

Mental Health Counselor · Hamlet, NC

NPI number 1396257085 Active

Practice location

34 W Main St
Hamlet, NC 28345-3636

Call (704) 475-6442 Map

Mailing address

PO Box 1367
Hamlet, NC 28345-1367

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

6 other providers at this address

NPI record

NPI: 1396257085
Entity type: Organization (Type 2)
Issued: Nov 2, 2017
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Clearwaters Counseling Services, LLC

Other names

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Clearwaters Counseling Services, LLC · doing business as
Clearwaters Counseling Services, LLC · former legal business name
Clearwaters Counseling Services, LLC · other name

Authorized official

Shirley W. Liles, MS, ED
Corporate Compliance Officer
(704) 695-2391

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396257085

Clearwaters Counseling Services, LLC's National Provider Identifier is 1396257085, issued on Nov 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hamlet, NC. The record was last updated on Jun 16, 2018.