Organization · NPI-2

A Moment'S Reflection

Counselor, Mental Health · Raleigh, NC

NPI number1922315258
StatusActive
Last updated in NPPESSep 8, 2010

Details

NPI
1922315258
Entity type
Organization (NPI-2)
Legal business name
A Moment'S Reflection
Organization subpart
No
Enumeration date
Sep 8, 2010
Last updated
Sep 8, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health5135NCYes

Practice location

8510 Six Forks Rd Ste 101
Raleigh, NC 27615-3258

Phone 919-602-8572 · Fax 919-747-4172

Mailing address

3520 Pritchard Ct
Raleigh, NC 27616-8973

Phone 919-602-8572 · Fax 919-747-4172

Authorized official

Elizabeth Marie Polomik
Therapist
9196028572

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