Provider Demographics
NPI:1831434919
Name:FRESH PERCEPTIONS COUNSELING
Entity type:Organization
Organization Name:FRESH PERCEPTIONS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:SEARLES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:910-639-2288
Mailing Address - Street 1:200 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NC
Mailing Address - Zip Code:28315-2812
Mailing Address - Country:US
Mailing Address - Phone:910-639-2288
Mailing Address - Fax:
Practice Address - Street 1:200 N POPLAR ST
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NC
Practice Address - Zip Code:28315-2812
Practice Address - Country:US
Practice Address - Phone:910-639-2288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6104430Medicaid