Provider Demographics
NPI:1265285100
Name:WOVEN MEMORIES COUNSELING PLLC
Entity type:Organization
Organization Name:WOVEN MEMORIES COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LENNI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC-A, LCAS-A
Authorized Official - Phone:828-432-6988
Mailing Address - Street 1:320 SANFORD DR # 284
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-2574
Mailing Address - Country:US
Mailing Address - Phone:828-214-7851
Mailing Address - Fax:
Practice Address - Street 1:320 SANFORD DR # 284
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-2574
Practice Address - Country:US
Practice Address - Phone:828-214-7851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty