Southerland Treatment and Rehab(star) Counseling&consulting Svcs, Pllc
NPI #1396215737 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1396215737
- Entity Type
- Organization
- Organization Name
- Southerland Treatment and Rehab(star) Counseling&consulting Svcs, Pllc
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Nov 28, 2018
- Last Updated
- Nov 28, 2018
Practice Location
- Address
- 206 FAIR OAKS LN
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27127-3178
- Phone
- (336) 745-7179
Authorized Official
- Name
- TIMEKA A SOUTHERLAND, LPCS, CSOTS, TFCBT
- Title
- OWNER/LPCS
- Phone
- (336) 745-7179
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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