The Secret Garden Center for Transformation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE SECRET GARDEN CENTER FOR TRANSFORMATION

Doing business as

The Secret Garden

Practice address

120 S Elm St Ste D
Williamston, NC 27892-2304

Phone

(252) 333-7856

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 2024By 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

Mrs. Letesha Renee Gibson, LCMHCNPI 1063670511

Title

Christian Therapist

Phone

(252) 678-6000

Specialties & licenses 1

Addresses

Other names 1

• The Secret Garden Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Letesha Renee Gibson, LPC

  • Mental Health Counselor
  • Rich Square, NC
  • NPI 1063670511
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1477314581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CROW POINT WAY",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279097063",
            "telephone_number": "252-678-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S ELM ST STE D",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922304",
            "telephone_number": "252-333-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SECRET GARDEN CENTER FOR TRANSFORMATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LETESHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHRISTIAN THERAPIST",
        "authorized_official_telephone_number": "252-678-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Secret Garden",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Williamston, NC
• Providers in Williamston, 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 Jan 17, 2024; 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.