Provider Demographics
NPI:1083016083
Name:TRUE NORTH COUNSELING PLLC
Entity Type:Organization
Organization Name:TRUE NORTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BODY CENTERED PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ORR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:828-386-6000
Mailing Address - Street 1:PO BOX 3756
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-5656
Mailing Address - Country:US
Mailing Address - Phone:828-386-6000
Mailing Address - Fax:828-386-1142
Practice Address - Street 1:838 STATE FARM RD
Practice Address - Street 2:SUITE 1
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-5307
Practice Address - Country:US
Practice Address - Phone:828-386-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0005771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106878Medicaid