Provider Demographics
NPI:1457661456
Name:SATTERFIELD & ASSOCIATES COUNSELING SERVICES PLLC
Entity Type:Organization
Organization Name:SATTERFIELD & ASSOCIATES COUNSELING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:SATTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:919-845-3377
Mailing Address - Street 1:8410 SIX FORKS RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-3078
Mailing Address - Country:US
Mailing Address - Phone:919-845-3377
Mailing Address - Fax:919-845-3366
Practice Address - Street 1:8410 SIX FORKS RD
Practice Address - Street 2:SUITE 204
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3078
Practice Address - Country:US
Practice Address - Phone:919-845-3377
Practice Address - Fax:919-845-3366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-09
Last Update Date:2010-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104244Medicaid