Provider Demographics
NPI:1457944589
Name:A GOOD MIND COUNSELING, PLLC
Entity Type:Organization
Organization Name:A GOOD MIND COUNSELING, PLLC
Other - Org Name:A GOOD MIND COUNSELING, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:919-255-5189
Mailing Address - Street 1:5505 WADE NASH RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-7890
Mailing Address - Country:US
Mailing Address - Phone:919-255-5189
Mailing Address - Fax:
Practice Address - Street 1:928 CASTLEPOINTE DR
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-3827
Practice Address - Country:US
Practice Address - Phone:919-255-5189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A GOOD MIND COUNSELING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-19
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty