Provider Demographics
NPI:1538313499
Name:DISCOVERY COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:DISCOVERY COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHAELE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WORRIX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC ATR
Authorized Official - Phone:919-285-4963
Mailing Address - Street 1:110 RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-2227
Mailing Address - Country:US
Mailing Address - Phone:919-285-4963
Mailing Address - Fax:888-661-2765
Practice Address - Street 1:110 RALEIGH ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-2227
Practice Address - Country:US
Practice Address - Phone:919-285-4963
Practice Address - Fax:888-661-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5252101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty