Abigail Fairley
Individual provider Active NPI Mental Health Counselor · Moyock, NC
NPI 1558065714 · NPPES record last updated Mar 29, 2023
Key facts
- NPI
- 1558065714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 380 Caratoke Hwy Ste J
Moyock, NC 27958-8623 - Phone
- (252) 232-8086
- Fax
- (252) 232-9136
- NPI assigned
- Mar 29, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Waters Counseling and Wellness Center, P.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
380 Caratoke Hwy Ste J
Moyock, NC 27958-8623
Mailing address
380 Caratoke Hwy Ste J
Moyock, NC 27958-8623
Phone (252) 232-8086
Other providers in Moyock, NC
- Carrie Nicole Duchaine
- Keiana Dugger
- Lily Duong
- Latanya Edwards
- Kathryn Wyatte Erlwein
- Joleesa Nichelle Felton
- Fentress Chiropractic, Inc
- Shelby Elizabeth Ferebee
- Caroline Fowler
- Lisa Dianne Fox
All providers in Moyock, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.