Provider Demographics
NPI:1912175514
Name:VINSON COUNSELING SERVICES
Entity Type:Organization
Organization Name:VINSON COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VINSON
Authorized Official - Suffix:
Authorized Official - Credentials:CAG
Authorized Official - Phone:919-274-1187
Mailing Address - Street 1:8005 WYNEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-5666
Mailing Address - Country:US
Mailing Address - Phone:919-274-1187
Mailing Address - Fax:919-790-1924
Practice Address - Street 1:8005 WYNEWOOD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27616-5666
Practice Address - Country:US
Practice Address - Phone:919-274-1187
Practice Address - Fax:919-790-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5248251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC142CFOtherBCBS
NC6006344Medicaid