Provider Demographics
NPI:1609212034
Name:PECULIAR COUNSELING & CONSULTING, PLLC
Entity Type:Organization
Organization Name:PECULIAR COUNSELING & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YOHMINA
Authorized Official - Middle Name:KALEI
Authorized Official - Last Name:KASEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-254-0141
Mailing Address - Street 1:16 OAK BRANCH DR STE A
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2119
Mailing Address - Country:US
Mailing Address - Phone:336-285-7616
Mailing Address - Fax:336-285-7868
Practice Address - Street 1:16 OAK BRANCH DR STE A
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2119
Practice Address - Country:US
Practice Address - Phone:336-285-7616
Practice Address - Fax:336-285-7868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC006377251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6007293Medicaid