Provider Demographics
NPI:1083483002
Name:STRATEGIES FOR LIFE COUNSELING PC
Entity Type:Organization
Organization Name:STRATEGIES FOR LIFE COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:PUZ
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MS LCMHC
Authorized Official - Phone:252-514-8630
Mailing Address - Street 1:156 MCCOTTERS MARINA RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-8788
Mailing Address - Country:US
Mailing Address - Phone:252-514-8630
Mailing Address - Fax:
Practice Address - Street 1:150 CYPRESS COMMONS WAY STE C
Practice Address - Street 2:
Practice Address - City:CHOCOWINITY
Practice Address - State:NC
Practice Address - Zip Code:27817-8535
Practice Address - Country:US
Practice Address - Phone:252-514-8630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty