Athena Counseling and Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C004357 Issued in NC

Legal business name

ATHENA COUNSELING AND WELLNESS, PLLC

Practice address

120 Capcom Ave
Suite 102
Wake Forest, NC 27587-6537

Phone

(919) 414-7433

NPI assigned

Aug 12, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Michelle Enderlin, MSW, LCSW

Title

Therapist/Owner

Phone

(919) 414-7433

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1275087702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 HOUNDSDITCH CIR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877997",
            "telephone_number": "919-414-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAPCOM AVE",
            "address_2": "SUITE 102",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876537",
            "telephone_number": "919-414-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA COUNSELING AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "ENDERLIN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "919-414-7433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Wake Forest, NC
• Providers in Wake Forest, 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 12, 2016; 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.