Provider Demographics
NPI:1114770484
Name:PRACTICAL COUNSELING SOLUTIONS, PLLC
Entity Type:Organization
Organization Name:PRACTICAL COUNSELING SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ILAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-612-4383
Mailing Address - Street 1:4293 OAKLAND DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8410
Mailing Address - Country:US
Mailing Address - Phone:828-612-4383
Mailing Address - Fax:
Practice Address - Street 1:4090 CHAMBERS CHAPEL CIR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-9233
Practice Address - Country:US
Practice Address - Phone:828-630-9661
Practice Address - Fax:828-334-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty