Provider Demographics
NPI:1356611057
Name:SOLAY COUNSELING & RESEARCH CENTER, P. C.
Entity type:Organization
Organization Name:SOLAY COUNSELING & RESEARCH CENTER, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMALA
Authorized Official - Middle Name:LATORI
Authorized Official - Last Name:UZZELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC, ACS, DCC
Authorized Official - Phone:919-484-2222
Mailing Address - Street 1:5836 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6692
Mailing Address - Country:US
Mailing Address - Phone:919-484-2222
Mailing Address - Fax:
Practice Address - Street 1:1700 E ASH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27530-4097
Practice Address - Country:US
Practice Address - Phone:919-484-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLAY COUNSELING & RESEARCH CENTER, P. C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-11
Last Update Date:2013-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7050101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty