Providence Counseling Services
Organization Active NPI Professional Counselor · Fuquay Varina, NC
NPI 1972825867 · NPPES record last updated Feb 19, 2010
Key facts
- NPI
- 1972825867
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 6595 (NC)
- Legal business name
- PROVIDENCE COUNSELING SERVICES
- Practice address
- 1401 Ravensthorpe Dr
Fuquay Varina, NC 27526-7714 - Phone
- (919) 924-1221
- NPI assigned
- Feb 19, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Sarah Anne Lanza, MA, LPC
- Title
- Partner/Clinical Director
- Phone
- (919) 924-1221
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 6595 | NC | Yes |
Addresses
Primary practice location
1401 Ravensthorpe Dr
Fuquay Varina, NC 27526-7714
Mailing address
1600 Spennymore Rd
Raleigh, NC 27603-9234
Phone (919) 772-4490
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103669 | Medicaid | NC |
Other providers in Fuquay Varina, NC
- Power Chiropractic PLLC
- Kristen Prasad
- Premier Health Center Internal Medicine and Palliative Care Service
- Premier Health Center, PLLC
- Priyanka Panthula, DDS, PLLC
- Providence Counseling Services, PLLC
- Ronald J Prucha Jr.
- Jessica Pruette
- Purposeful Innovative Education Solutions LLC
- Q1 Clinical Consultants, LLC
All providers in Fuquay Varina, NC · Professional 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 Feb 19, 2010. 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.