Provider Demographics
NPI:1952795908
Name:CRAIG COUNSELING, PLLC
Entity Type:Organization
Organization Name:CRAIG COUNSELING, PLLC
Other - Org Name:JESSICA CRAIG, LPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:MED, EDS, LPC
Authorized Official - Phone:561-212-6651
Mailing Address - Street 1:7332 LAUREL VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-4400
Mailing Address - Country:US
Mailing Address - Phone:561-212-6651
Mailing Address - Fax:
Practice Address - Street 1:7810 PINEVILLE MATTHEWS RD
Practice Address - Street 2:SUITE 5
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-5315
Practice Address - Country:US
Practice Address - Phone:704-728-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9203101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty