Haven of Rest Counseling, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

S8449 Issued in NC

Legal business name

HAVEN OF REST COUNSELING, PLLC

Practice address

101 W South Railroad Street
Four Oaks, NC 27524

Phone

(919) 631-2483

Fax

(919) 882-1802

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Anecia Brooks Lee, LPCSNPI 1457638959

Title

Owner

Phone

(919) 631-2483

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anecia Lee, MA, LPC

  • Professional Counselor
  • Smithfield, NC
  • NPI 1457638959
  NPD Authorized official

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1831608215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 HAYES RD",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275249502",
            "telephone_number": "919-631-2483",
            "fax_number": "919-882-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W SOUTH RAILROAD STREET",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524",
            "telephone_number": "919-631-2483",
            "fax_number": "919-882-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF REST COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANECIA",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-631-2483",
        "authorized_official_credential": "LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "S8449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115072",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Golden Age Therapy PLLC
• Betsy Denise Graham, LPN
• James Hampson, PA-C
• Kristen Leigh Harper
• Rosnah Hassan, B.A
• Judy Beasley Holland, LPCA
• Keisha Garrett Horton, LCSWA
• Jossi Isler
• April Dawn Jackson, NP
• Emma Katherine Jernigan, LCSWA

• Professional Counselor in Four Oaks, NC
• Providers in Four Oaks, 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 Sep 28, 2017; 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.