Provider Demographics
NPI:1932509684
Name:COUNSEL FOR THE CULTURE
Entity Type:Organization
Organization Name:COUNSEL FOR THE CULTURE
Other - Org Name:COUNSEL FOR THE CULTURE, PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SHASHANAH
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:252-347-1519
Mailing Address - Street 1:1211 ALSTON RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-3205
Mailing Address - Country:US
Mailing Address - Phone:252-347-1519
Mailing Address - Fax:
Practice Address - Street 1:1105 TRYON VILLAGE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7169
Practice Address - Country:US
Practice Address - Phone:252-347-1519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-31
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0085111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty