4.1.7 Counseling, PLLC
Organization Active NPI Mental Health Counselor · Washington, NC
NPI 1104783612 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1104783612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- 4.1.7 COUNSELING, PLLC
- Practice address
- 417 N Bridge St
Washington, NC 27889-4827 - Phone
- (252) 481-1007
- NPI assigned
- Jan 6, 2026
- Organization subpart
- No
Authorized official
- Name
- Anthony Tyre, LCMHC
- Title
- Director
- Phone
- (252) 481-1007
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | Yes | ||
| Professional Counselor |
101YP2500X | |||
| Social Worker |
104100000X | |||
| Clinical Social Worker |
1041C0700X | |||
| Case Manager/Care Coordinator |
171M00000X |
Addresses
Primary practice location
417 N Bridge St
Washington, NC 27889-4827
Mailing address
3231 Idalia Rd
Aurora, NC 27806-9525
Phone (252) 481-1007
Other practice location 1
3231 Idalia Rd
Aurora, NC 27806-9525
Phone (252) 481-1007
Other practice location 2
151 W Main St Apt 202
Washington, NC 27889-5266
Phone (252) 481-1007
Other providers in Washington, NC
- A and D Family Services Inc
- Addus Healthcare (North Carolina), Inc
- Maudia Dellshawn Ahmad
- Syed Saqib Ahmed
- Deborah Lowry Ainsworth
All providers in Washington, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.