Provider Demographics
NPI:1609473230
Name:CHADWICK COUNSELING, PLLC
Entity Type:Organization
Organization Name:CHADWICK COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:CHADWICK
Authorized Official - Suffix:III
Authorized Official - Credentials:LCMHC, LCAS
Authorized Official - Phone:336-703-7706
Mailing Address - Street 1:105 CHELSEA CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-9001
Mailing Address - Country:US
Mailing Address - Phone:336-703-7706
Mailing Address - Fax:
Practice Address - Street 1:105 CHELSEA CIR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-9001
Practice Address - Country:US
Practice Address - Phone:336-703-7706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health