Eagle Eye Counseling & Consulting, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S7638 Issued in NC

Legal business name

EAGLE EYE COUNSELING & CONSULTING, PLLC

Practice address

1118 Sam Newell Rd
Matthews, NC 28105-5041

Phone

(704) 750-1007

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lily Mudry, LPC-S, LCAS, CCS

Title

Owner

Phone

(704) 750-1007

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1447798640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 APPLE TREE LN",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297159100",
            "telephone_number": "704-421-4746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 SAM NEWELL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281055041",
            "telephone_number": "704-750-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE COUNSELING & CONSULTING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "MUDRY",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-750-1007",
        "authorized_official_credential": "LPC-S, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "7638",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1717",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S7638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366755282",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Elizabeth Dunton, CNM
• Belinda Duong, OD
• Samuel Stuart Dupuy Jr., M.D.
• Jill Jaffe Durinick, RD,LDN
• April Duritza, LCSWA
• Maggie Eaglen, OT
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• Taneha Eason
• Meghan Erin Easterday, LCMHC-A
• Michelle Easterly, PT

• Mental Health Counselor in Matthews, NC
• Providers in Matthews, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.