Provider Demographics
NPI:1922721265
Name:OUTCOMES COUNSELING AND TREATMENT SERVICES, PLLC
Entity Type:Organization
Organization Name:OUTCOMES COUNSELING AND TREATMENT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LATINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MS LCAS LCMHCS CCS
Authorized Official - Phone:252-814-9160
Mailing Address - Street 1:104 W FIRE TOWER RD STE B
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9475
Mailing Address - Country:US
Mailing Address - Phone:252-814-9160
Mailing Address - Fax:866-602-1882
Practice Address - Street 1:415 HWY 13 S STE C
Practice Address - Street 2:
Practice Address - City:SNOW HILL
Practice Address - State:NC
Practice Address - Zip Code:28580-1344
Practice Address - Country:US
Practice Address - Phone:252-814-9160
Practice Address - Fax:866-602-1882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health