Provider Demographics
NPI:1841783537
Name:THE HUNTLEY COUNSELING CENTER, PLLC
Entity Type:Organization
Organization Name:THE HUNTLEY COUNSELING CENTER, PLLC
Other - Org Name:AUTISM WORKZ COUNSELING & MENTAL WELLNESS CENTER, PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NARISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:HUNTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:336-701-0243
Mailing Address - Street 1:450 W HANES MILL RD STE 226&249
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27105-9141
Mailing Address - Country:US
Mailing Address - Phone:336-701-0243
Mailing Address - Fax:336-734-2629
Practice Address - Street 1:450 W HANES MILL RD STE 226&249
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-9141
Practice Address - Country:US
Practice Address - Phone:336-701-0243
Practice Address - Fax:336-734-2629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty