Provider Demographics
NPI:1467644815
Name:DILLARD COUNSELING & CONSULTATION SERVICES, PLLC
Entity Type:Organization
Organization Name:DILLARD COUNSELING & CONSULTATION SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:DILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS
Authorized Official - Phone:919-624-0563
Mailing Address - Street 1:PO BOX 1235
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-1235
Mailing Address - Country:US
Mailing Address - Phone:919-528-9269
Mailing Address - Fax:919-528-9269
Practice Address - Street 1:2150 HWY 56 EAST
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-8697
Practice Address - Country:US
Practice Address - Phone:919-528-9269
Practice Address - Fax:919-528-9269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health