Epiphany Place Counseling & Consulting PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EPIPHANY PLACE COUNSELING & CONSULTING PLLC

Practice address

690 N Reilly Rd Ste 8
Fayetteville, NC 28303-5734

Phone

(910) 689-6567

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By 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. Ebony Renee Brown, MSW, LCSW

Title

Owner

Phone

(910) 689-6567

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1558839480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BLAKELY CT",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469620",
            "telephone_number": "910-689-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N REILLY RD STE 8",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035734",
            "telephone_number": "910-689-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY PLACE COUNSELING & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-689-6567",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Robert Engle, O.D.
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• Roxxy Alexandria Eppinger, LCSWA
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• Martha F Epps, PHARMD
• Sheena Epps, LPN
• Tiffany Danielle Epps

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, 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 Nov 8, 2018; 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.