Polished Pearls Counseling and Coaching Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

POLISHED PEARLS COUNSELING AND COACHING SERVICES PLLC

Doing business as

Polished Pearls Counseling and Coaching Services PLLC

Practice address

211 North St W
Ahoskie, NC 27910-3036

Phone

(252) 455-8710

NPI assigned

Oct 29, 2018

Last updated

Jan 14, 2021By 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

Ms. Tiara Watford, LCSWNPI 1487050126

Title

Owner

Phone

(252) 455-8710

Specialties & licenses 2

Addresses

Other names 1

• Polished Pearls Counseling and Coaching Services PLLC Doing business as

Electronic endpoints 1

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.

• Tiara Watford, LCSW

  • Clinical Social Worker
  • Ahoskie, NC
  • NPI 1487050126
  NPD (past) Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1710454632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NORTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103036",
            "telephone_number": "252-455-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NORTH ST W",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103036",
            "telephone_number": "252-455-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLISHED PEARLS COUNSELING AND COACHING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "WATFORD",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-455-8710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ppccs.net",
            "affiliation": "N",
            "address_1": "211 North St W",
            "city": "Ahoskie",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279103036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Polished Pearls Counseling and Coaching Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Polished Pearls Counseling and Coaching Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory R Phillips, CRNA
• Charles G Pierce, M.D.
• Mary Walters Pierce, MS CCC SLP
• Pinewood Manor Assisted Linving, Inc.
• Place of Purpose
• Port Health Services
• Port Health Services
• Port Human Services
• Shy'Kira Nicole Porter, LCSW-A
• Ian Scott Pratt, M.D.

• Clinical Social Worker in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.