Safe Harbor Christian Counseling of Raleigh

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4891 Issued in NC

Legal business name

SAFE HARBOR CHRISTIAN COUNSELING OF RALEIGH

Practice address

2019 Beachwood Dr
Sanford, NC 27330-9271

Phone

(919) 774-7440

Fax

(410) 569-0094

NPI assigned

Mar 28, 2011

Organization subpart

No

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

Authorized official

Name

Cynthia Jacobs, LPC

Title

Director

Phone

(919) 774-7440

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301270400000",
    "number": "1457650681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 BEACHWOOD DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309271",
            "telephone_number": "919-774-7440",
            "fax_number": "410-569-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 BEACHWOOD DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273309271",
            "telephone_number": "919-774-7440",
            "fax_number": "410-569-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHRISTIAN COUNSELING OF RALEIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-28",
        "last_updated": "2011-03-28",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-774-7440",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tearstin Rueda
• Brooke Allyn Russell, PTA
• Kirsten Elizabeth Ruth, PA-C
• S. David Ciliberto, M.D., P.a.
• S. Kaye Harding, DDS, PLLC
• Manish Kanti Saha, MD
• Lauren Michelle Salamino, PA-C
• Trinity Rodgers Salazar, LCSWA
• Sandhills Center for Mental Health, Developmental Disabilities and Sub
• Sandhills Center for Mental Health, Developmental Disabilities and Sub

• Professional Counselor in Sanford, NC
• Providers in Sanford, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; 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.