Provider Demographics
NPI:1619449584
Name:ACCEPTING BOUNDARIES COUNSELING
Entity Type:Organization
Organization Name:ACCEPTING BOUNDARIES COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MENCY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-461-6968
Mailing Address - Street 1:51 PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5068
Mailing Address - Country:US
Mailing Address - Phone:910-461-6968
Mailing Address - Fax:
Practice Address - Street 1:51 PLAZA DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-5068
Practice Address - Country:US
Practice Address - Phone:910-461-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty