Charlescie L Graham

LBN: Revizion Counseling Services, Pllc
Charlescie L Graham is an health care organization with primary practice located at 364 Somerset Dr , Raeford NC 28376-5437. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Agencies / Community/Behavioral Health is the primary health care specialty. Revizion Counseling Services, Pllc can be contacted via phone (919) 679-2246, or through Graham, Charlescie Lee via phone (919) 679-2246.

Contact Information

Primary practice address
364 Somerset Dr Raeford NC 28376-5437
Phone: (919) 679-2246
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Charlescie Lee LCSW, LCAS
Phone: (919) 679-2246

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1194487868
LBN Legal business name Revizion Counseling Services, Pllc
DBA Doing business as Charlescie L Graham
Authorized official Graham, Charlescie Lee LCSW, LCAS
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2021
Last updated Dec 28th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194487868 NPPES
North Carolina Other 2268448 SECRETARY OF STATE ID #

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