Provider Demographics
NPI:1609592591
Name:C.P.R. COUNSELING AND CONSULTING, PLLC
Entity Type:Organization
Organization Name:C.P.R. COUNSELING AND CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSE
Authorized Official - Prefix:
Authorized Official - First Name:CHENTELL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:910-315-4060
Mailing Address - Street 1:1551 LOOP RD
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7512
Mailing Address - Country:US
Mailing Address - Phone:191-031-5406
Mailing Address - Fax:
Practice Address - Street 1:1551 LOOP RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-7512
Practice Address - Country:US
Practice Address - Phone:191-031-5406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty