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1750034294
PROVIDENTIAL CARE: CENTER FOR MENTAL WELLNESS, PLLC
GREENVILLE, NC
NPI
1750034294
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Entity Type
Organization
Authorized Contact
RICHELLE LAFAYE SMALLWOOD
Owner, Clinician
252-315-8081
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
PROVIDENTIAL CARE: CENTER FOR MENTAL WELLNESS, PLLC
3340B ELLSWORTH DR
GREENVILLE, NC 27834-4944
Phone number: 252-917-8182
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Mailing Address
PROVIDENTIAL CARE: CENTER FOR MENTAL WELLNESS, PLLC
PO BOX 30882
GREENVILLE, NC 27833-0882
Phone number: 252-917-8182
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