Provider Demographics
NPI:1609403344
Name:KBR COUNSELING AND SERVICES, PLLC
Entity Type:Organization
Organization Name:KBR COUNSELING AND SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAIRASHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYCE RASBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCAS, CCS
Authorized Official - Phone:252-363-5478
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27894-0933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2506 NASH ST N UNIT B
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27896-1393
Practice Address - Country:US
Practice Address - Phone:252-371-1589
Practice Address - Fax:252-371-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-24
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty