EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
NPI 1376605204
Counselor - Mental Health in Raleigh, NC

Q: What is Easter Seals Ucp North Carolina & Virginia, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since December 15, 2006

2315 MYRON DR, RALEIGH, NC 27607(919) 861-1600(919) 861-1637 Get Directions Write a Review

NPPES record last updated: November 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Easter Seals Ucp North Carolina & Virginia, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI 1376605204) is a healthcare organization registered as a mental health in Raleigh, North Carolina and active in the NPI registry since December 2006. The organization lists Richard P Edwards, Vice President, as its authorized official.

NPPES Registry Identity

NPI1376605204

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

Location Address2315 MYRON DRRaleigh, NC 27607-3344

Mailing Address5171 Glenwood Ave, Suite 400Raleigh, NC 27612-3266 · (919) 783-8898 · Fax (919) 782-5486

Phone(919) 861-1600

Fax(919) 861-1637

Organization SubpartNo

Authorized OfficialRichard P EdwardsVice President · (919) 783-8898

Enumeration DateDecember 15, 2006

Last NPPES UpdateNovember 23, 2010

✔ NPI 1376605204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 32314

2315 MYRON DR, Raleigh, NC 27607

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Other Identifiers 3

Other018KJNC · Nc Blue Cross Blue Sheild

Medicare ID-Type Unspecified2345163NC · Md Group Medicare Number

Medicaid5903291NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DEBRA LYNN ROESCHLEIN LCAS

Counselor (Addiction (Substance Use Disorder))