Provider Demographics
NPI:1982234092
Name:CALM WATERS COUNSELING, LLC
Entity Type:Organization
Organization Name:CALM WATERS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARLIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:METTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-776-3984
Mailing Address - Street 1:3024 CONE MANOR LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-6604
Mailing Address - Country:US
Mailing Address - Phone:510-776-3984
Mailing Address - Fax:888-519-4656
Practice Address - Street 1:2025 E MAIN ST STE 216
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-7073
Practice Address - Country:US
Practice Address - Phone:510-776-3984
Practice Address - Fax:888-519-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty