Provider Demographics
NPI:1689449183
Name:OBEID COUNSELING, PLLC
Entity Type:Organization
Organization Name:OBEID COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:S
Authorized Official - Last Name:OBEID
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LCMHC, LCASA,
Authorized Official - Phone:919-406-4792
Mailing Address - Street 1:914 ORANGE HIGH SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-8481
Mailing Address - Country:US
Mailing Address - Phone:919-406-4792
Mailing Address - Fax:
Practice Address - Street 1:914 ORANGE HIGH SCHOOL RD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278-8481
Practice Address - Country:US
Practice Address - Phone:919-406-4792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder