Provider Demographics
NPI:1093226375
Name:I DO CARE COUNSELING AND CONSULTING SERVICES, PLLC
Entity Type:Organization
Organization Name:I DO CARE COUNSELING AND CONSULTING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEWRINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-574-3487
Mailing Address - Street 1:3357 VARDAMAN AVE
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-9696
Mailing Address - Country:US
Mailing Address - Phone:910-574-0625
Mailing Address - Fax:910-491-9724
Practice Address - Street 1:2606 RAEFORD RD STE 31
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5476
Practice Address - Country:US
Practice Address - Phone:910-574-3487
Practice Address - Fax:910-653-1521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-13
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty