Provider Demographics
NPI:1003391889
Name:DOWNTOWN RALEIGH COUNSELING, PLLC
Entity Type:Organization
Organization Name:DOWNTOWN RALEIGH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:MELINDA
Authorized Official - Last Name:VAN HOOK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-257-7530
Mailing Address - Street 1:5 W HARGETT ST RM 313
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27601-1348
Mailing Address - Country:US
Mailing Address - Phone:915-788-3149
Mailing Address - Fax:
Practice Address - Street 1:5109 CARTER ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3467
Practice Address - Country:US
Practice Address - Phone:910-257-7530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-27
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty