Provider Demographics
NPI:1932471042
Name:ONE TO ONE COUNSELING & CONSULTING
Entity Type:Organization
Organization Name:ONE TO ONE COUNSELING & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE & FAMILY THERAPIS
Authorized Official - Prefix:
Authorized Official - First Name:TIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROOMS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:888-557-1675
Mailing Address - Street 1:3332 BRIDGES ST
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3280
Mailing Address - Country:US
Mailing Address - Phone:888-557-1675
Mailing Address - Fax:888-557-1675
Practice Address - Street 1:3332 BRIDGES ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3280
Practice Address - Country:US
Practice Address - Phone:888-557-1675
Practice Address - Fax:888-557-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-04
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104604Medicaid