Provider Demographics
NPI:1376876615
Name:FAR WEST COUNSELING, PLLC
Entity Type:Organization
Organization Name:FAR WEST COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AGENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:MATHIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:828-837-3900
Mailing Address - Street 1:225 VALLEY RIVER AVE
Mailing Address - Street 2:SUITE F
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-2988
Mailing Address - Country:US
Mailing Address - Phone:828-837-3900
Mailing Address - Fax:828-837-8410
Practice Address - Street 1:225 VALLEY RIVER AVE
Practice Address - Street 2:SUITE F
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-2988
Practice Address - Country:US
Practice Address - Phone:828-837-3900
Practice Address - Fax:828-837-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-17
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3492101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty