LIFE RECOVERY PSYCHOLOGICAL SERVICES


Address: 1202-c Wayne Memorial Dr, Goldsboro, NC 27534
Phone: 9193304576

LIFE RECOVERY PSYCHOLOGICAL SERVICES (NPI# 1144595265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144595265
Entity Type Organization
Organization Name LIFE RECOVERY PSYCHOLOGICAL SERVICES
Practice Address 1202-c Wayne Memorial Dr
Goldsboro
NC 27534
Mailing Address P. O. Box 10494
Goldsboro
NC 27532
Practice Telephone 9193304576
Practice Fax Number 9195815017
Mailing Telephone 9193304576
Enumeration Date 2012-03-22
Last Update Date 2012-03-22
Authorized Official Name MRS. MADONNA L. BROWN (LICENSED PROFESSIONAL COUNSELOR)
Authorized Official Telephone 9194406197
Authorized Official Credential LPC, NCC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Office Location

Street Address 1202-C WAYNE MEMORIAL DR
City GOLDSBORO
State NC
Zip Code 27534

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457875767 Trent Jonathan Forshey Physical Therapist 2126 Wayne Memorial Dr, Goldsboro, NC 27534 2017-07-28
1336685551 Wayne Al Holdings, LLC Assisted Living Facility 901 West New Hope Rd, Goldsboro, NC 27534 2017-01-11
1952845471 Latoya Faulk Social Worker 121 Carolina Forest Drive, Goldsboro, NC 27534 2016-12-19
1528415841 Kelby Joseph Sage Durnin Military Health Care Provider 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 2016-05-17
1528490604 Eric Christian Bourgeois Physical Therapist 1101a Gracie Pl, Goldsboro, NC 27534 2013-07-31
1831439165 Erica Nicole Davis Optometrist 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 2013-02-23
1891039236 Betty Webb Zimmerman Nurse Practitioner 204 Cox Blvd, Goldsboro, NC 27534 2012-11-26
1558596536 Taylor Home Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 802 Taylor St, Goldsboro, NC 27534 2009-05-20
1780895136 Sherrie Fennell Edwards Dietitian, Registered 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 2007-05-25
1588872964 Van Lee Adams Internal Medicine 204 Malloy Street, Suite A, Goldsboro, NC 27534 2007-05-18
Find all providers in zip 27534

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538670658 Karen Louise Bieniek Counselor 103 Sable Dr, Goldsboro, NC 27530-9023 2017-10-16
1467806331 Gregory Brown Counselor 1503 Wayne Memorial Dr Ste H, Goldsboro, NC 27534-2203 2016-04-18
1609274687 Tiffany Leanne Farmer Counselor 1184 Us Hwy 13 South, Goldsboro, NC 27530 2014-12-08
1255774816 Michele Lynne Martinez Counselor 211 Lee Dr, Goldsboro, NC 27534-5645 2013-04-14
1679820922 Angela Lynn Fivek Counselor 502-f Boxwood Lane, Apt. F, Goldsboro, NC 27534-4217 2012-08-06
1902175342 Serenity Counseling Services, Pllc Counselor 2500 Peachtree St, Goldsboro, NC 27534-4312 2011-12-14
1063798676 Kathleen Wright Counselor 1601 Cuyler Best Rd Apt K2, Goldsboro, NC 27534-8211 2011-10-26
1811203904 Jamie Diane Livengood Counselor 117 Overbrook Rd, Goldsboro, NC 27534-4309 2010-08-26
1396982880 Madonna Brown Counselor 1503-h Wayne Memorial Dr, Goldsboro, NC 27534-2231 2009-01-21
1841486909 Tamara Adams Munoz Counselor 204 Delbert Dr, Goldsboro, NC 27534-9056 2007-09-21
Find all providers in GOLDSBORO

Competitor

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City GOLDSBORO
Zip Code 27534

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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