Provider Demographics
NPI:1619621778
Name:TAKE CARE OF YOU COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:TAKE CARE OF YOU COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:HANSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCA
Authorized Official - Phone:757-636-8433
Mailing Address - Street 1:140 RIVER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:WALLACE
Mailing Address - State:NC
Mailing Address - Zip Code:28466-2388
Mailing Address - Country:US
Mailing Address - Phone:757-636-8433
Mailing Address - Fax:
Practice Address - Street 1:140 RIVER WOODS DR
Practice Address - Street 2:
Practice Address - City:WALLACE
Practice Address - State:NC
Practice Address - Zip Code:28466-2388
Practice Address - Country:US
Practice Address - Phone:757-636-8433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty