Provider Demographics
NPI:1609182039
Name:FAMILY SOLUTIONS COUNSELING, PLLC.
Entity Type:Organization
Organization Name:FAMILY SOLUTIONS COUNSELING, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMFT
Authorized Official - Phone:919-306-4815
Mailing Address - Street 1:605 VIGO CT
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571-9340
Mailing Address - Country:US
Mailing Address - Phone:919-306-4815
Mailing Address - Fax:919-761-9446
Practice Address - Street 1:149 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-8601
Practice Address - Country:US
Practice Address - Phone:919-306-4815
Practice Address - Fax:919-761-9446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC675106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty