SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC
NPI 1396215737
Counselor - Professional in Winston Salem, NC
- Organization
- Counselor
- Professional
About SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC
This page provides the complete NPI Profile along with additional information for Southerland Treatment And Rehab(star) Counseling&consulting Svcs, Pllc, a provider established in Winston Salem, North Carolina operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1396215737 assigned on November 2018. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Timeka A Southerland Lpcs, Csots, Tfcbt (Owner/lpcs)
- NPI
- 1396215737 Verify this NPI
- Provider Name
- SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC
- Entity Type
- Organization
- Location Address
- 206 FAIR OAKS LN WINSTON SALEM, NC 27127
- Location Phone
- (336) 745-7179
- Location Fax
- (336) 842-3055
- Mailing Address
- 206 FAIR OAKS LN WINSTON SALEM, NC 27127
- Mailing Phone
- (336) 745-7179
- Mailing Fax
- (336) 842-3055
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-28-2018
- Last Update Date
- 11-28-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
WINSTON SALEM, NC 27127
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396215737, enumerated as an "organization" on November 28, 2018.
The provider is located at 206 FAIR OAKS LN WINSTON SALEM, NC 27127 and the phone number is (336) 745-7179.
Counselor with taxonomy code 101YP2500X and a focus in Professional.