Provider Demographics
NPI:1972836989
Name:COMPREHENSIVE COUNSELING AND EVALUATION CENTER, PLLC
Entity Type:Organization
Organization Name:COMPREHENSIVE COUNSELING AND EVALUATION CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:N
Authorized Official - Last Name:WUNKER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS, CRC
Authorized Official - Phone:252-258-9828
Mailing Address - Street 1:1016 TRINITY DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8055
Mailing Address - Country:US
Mailing Address - Phone:252-258-9828
Mailing Address - Fax:
Practice Address - Street 1:223 COMMERCE ST
Practice Address - Street 2:SUITE B
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5032
Practice Address - Country:US
Practice Address - Phone:252-258-9828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty