Provider Demographics
NPI:1700559366
Name:ONESTOP THERAPEUTICS AND SUPPORT SERVICES, PLLC
Entity Type:Organization
Organization Name:ONESTOP THERAPEUTICS AND SUPPORT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCASA
Authorized Official - Phone:919-709-1518
Mailing Address - Street 1:PO BOX 7345
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27895-7345
Mailing Address - Country:US
Mailing Address - Phone:919-709-1518
Mailing Address - Fax:
Practice Address - Street 1:615 NASH ST E
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-6364
Practice Address - Country:US
Practice Address - Phone:252-292-6524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-29
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty