Provider Demographics
NPI:1942707849
Name:CAROLINA EAST COUNSELING PLLC
Entity Type:Organization
Organization Name:CAROLINA EAST COUNSELING PLLC
Other - Org Name:CAROLINA EAST COUNSELING PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DBH NCC LPC
Authorized Official - Phone:252-503-0775
Mailing Address - Street 1:312 COMMERCE AVE STE I
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-3227
Mailing Address - Country:US
Mailing Address - Phone:252-503-3126
Mailing Address - Fax:
Practice Address - Street 1:312 COMMERCE AVE STE I
Practice Address - Street 2:
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-3227
Practice Address - Country:US
Practice Address - Phone:252-503-3126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty