Provider Demographics
NPI:1407212723
Name:CORE HEALTH COUNSELING
Entity Type:Organization
Organization Name:CORE HEALTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GORDON-PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LCSW-C
Authorized Official - Phone:877-278-7317
Mailing Address - Street 1:4921 PROFESSIONAL CT
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4913
Mailing Address - Country:US
Mailing Address - Phone:877-278-7317
Mailing Address - Fax:877-278-7317
Practice Address - Street 1:4921 PROFESSIONAL CT
Practice Address - Street 2:SUITE 201B
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4913
Practice Address - Country:US
Practice Address - Phone:877-278-7317
Practice Address - Fax:877-278-7317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-04
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty