Provider Demographics
NPI:1740333277
Name:METROPOLITAN COUNSELING SERVICES, INC
Entity type:Organization
Organization Name:METROPOLITAN COUNSELING SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-398-9990
Mailing Address - Street 1:PO BOX 374
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27855-0374
Mailing Address - Country:US
Mailing Address - Phone:252-398-8380
Mailing Address - Fax:252-398-8381
Practice Address - Street 1:106 N 2ND ST
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:NC
Practice Address - Zip Code:27855-1246
Practice Address - Country:US
Practice Address - Phone:252-398-8380
Practice Address - Fax:252-398-8381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC2002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6600754Medicaid