Provider Demographics
NPI:1639764640
Name:ONE THERAPY AND CONSULTING, P.A.
Entity Type:Organization
Organization Name:ONE THERAPY AND CONSULTING, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, LCAS, CCS
Authorized Official - Phone:252-288-4045
Mailing Address - Street 1:606 PINETREE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-4430
Mailing Address - Country:US
Mailing Address - Phone:252-288-4045
Mailing Address - Fax:
Practice Address - Street 1:606 PINETREE DR
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-4430
Practice Address - Country:US
Practice Address - Phone:252-288-4045
Practice Address - Fax:252-351-0335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder