Provider Demographics
NPI:1841896131
Name:CAROLINA COUNSELING AND THERAPEUTIC SOLUTIONS
Entity type:Organization
Organization Name:CAROLINA COUNSELING AND THERAPEUTIC SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCAS-A
Authorized Official - Phone:919-522-9314
Mailing Address - Street 1:CAROLINA COUNSELING AND THERAPEUTIC SOLUTIONS
Mailing Address - Street 2:12740 SPRUCE TREE WAY STE 102
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614
Mailing Address - Country:US
Mailing Address - Phone:919-916-1160
Mailing Address - Fax:919-488-4226
Practice Address - Street 1:12740 SPRUCE TREE WAY # 10212740
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-8295
Practice Address - Country:US
Practice Address - Phone:919-916-1160
Practice Address - Fax:919-488-4226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty