Provider Demographics
NPI:1295542124
Name:WOLF AND WILLOW COUNSELING PLLC
Entity type:Organization
Organization Name:WOLF AND WILLOW COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OUTPATIENT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCA
Authorized Official - Phone:984-528-6567
Mailing Address - Street 1:602 SUGAR COVE LN
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-6327
Mailing Address - Country:US
Mailing Address - Phone:984-528-6567
Mailing Address - Fax:
Practice Address - Street 1:1710 E FRANKLIN ST # 1011
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5851
Practice Address - Country:US
Practice Address - Phone:984-528-6567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty