Provider Demographics
NPI:1922517671
Name:NC CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:NC CENTER FOR COUNSELING AND PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPA, LCAS, CCS (CO-OWNER)
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:THOMPSON
Authorized Official - Last Name:CURRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-307-6055
Mailing Address - Street 1:119 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BUTNER
Mailing Address - State:NC
Mailing Address - Zip Code:27509-1701
Mailing Address - Country:US
Mailing Address - Phone:919-307-6055
Mailing Address - Fax:919-573-0869
Practice Address - Street 1:2555 CAPITOL DR STE E4
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-9462
Practice Address - Country:US
Practice Address - Phone:919-307-6055
Practice Address - Fax:919-573-0869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-26
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1864101YA0400X
NC4496103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty