Provider Demographics
NPI:1093302101
Name:BECOMING COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:BECOMING COUNSELING SERVICES, PLLC
Other - Org Name:BECOMING COUNSELING SERVICES, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TINYCA
Authorized Official - Middle Name:W
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:910-644-0307
Mailing Address - Street 1:8132 TARA RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-8303
Mailing Address - Country:US
Mailing Address - Phone:910-644-0307
Mailing Address - Fax:
Practice Address - Street 1:231 WESTLAKE RD STE 202
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-4862
Practice Address - Country:US
Practice Address - Phone:910-644-0307
Practice Address - Fax:910-222-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty