Provider Demographics
NPI:1184955312
Name:A CLEAR WORD COUNSELING CENTER
Entity type:Organization
Organization Name:A CLEAR WORD COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GIBBS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,LPC,BCPCC,NCC
Authorized Official - Phone:828-692-6383
Mailing Address - Street 1:316 ERKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-6212
Mailing Address - Country:US
Mailing Address - Phone:828-692-6383
Mailing Address - Fax:828-692-6748
Practice Address - Street 1:316 ERKWOOD DR
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-6212
Practice Address - Country:US
Practice Address - Phone:828-692-6383
Practice Address - Fax:828-692-6748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2411101YP2500X
NC7321101YP2500X
NC3325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty