Beauty in Brokenness Counseling Solutions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BEAUTY IN BROKENNESS COUNSELING SOLUTIONS

Practice address

4801 Glenwood Ave Ste 200
Raleigh, NC 27612-3857

Phone

(904) 853-0564

NPI assigned

Aug 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tillary Tice, LCSWNPI 1326607417

Title

Owner

Phone

(904) 853-0564

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tillary Tice, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1326607417
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1134848146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "904-853-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 GLENWOOD AVE STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123857",
            "telephone_number": "904-853-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY IN BROKENNESS COUNSELING SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "TICE",
        "authorized_official_first_name": "TILLARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-853-0564",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kody Wooten Beaudin, RN
• Melissa Beaulieu
• Beaumont Family Chiropractic PLLC
• Marion Earl Beaumont II, D.C
• Beauty Embrace Medspa, PLLC
• Beauty in Vein, LLC
• Christopher Beaver, CRNA
• Laura A. Beaver, OT
• Sarah Beaver
• Janna Currie Beavers, PHARMD, BCCP, CPP

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.