Choose Life Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10435 Issued in NC

Legal business name

CHOOSE LIFE COUNSELING SERVICES

Practice address

113 N Crutchfield St
Dobson, NC 27017-8804

Phone

(336) 926-2293

Fax

(336) 352-3635

NPI assigned

Apr 23, 2018

Organization subpart

No

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

Authorized official

Name

Mr. John Sink Pulliam Jr., LPC, LCAS, CCS

Title

Director

Phone

(336) 926-2293

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1154819472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 JENNA WOODS TRL",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270308557",
            "telephone_number": "336-926-2293",
            "fax_number": "336-352-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 N CRUTCHFIELD ST",
            "city": "DOBSON",
            "state": "NC",
            "postal_code": "270178804",
            "telephone_number": "336-926-2293",
            "fax_number": "336-352-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOOSE LIFE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SINK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-926-2293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3310",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dobson, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.