Provider Demographics
NPI:1326637745
Name:SYNERGIE COUNSELING, PLLC
Entity Type:Organization
Organization Name:SYNERGIE COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:WICH-LAYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCAS, CSAT
Authorized Official - Phone:910-431-9455
Mailing Address - Street 1:670 RIVER RD SE
Mailing Address - Street 2:
Mailing Address - City:BELVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28451-8437
Mailing Address - Country:US
Mailing Address - Phone:910-431-9455
Mailing Address - Fax:910-401-1769
Practice Address - Street 1:1522 HARBOUR DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7714
Practice Address - Country:US
Practice Address - Phone:910-431-9455
Practice Address - Fax:910-401-1769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-11
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty