SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC
NPI 1396215737
Counselor - Professional in Winston Salem, NC

Active since November 28, 2018
206 FAIR OAKS LN, WINSTON SALEM, NC 27127(336) 745-7179(336) 842-3055 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TIMEKA A SOUTHERLAND LPCS, CSOTS, TFCBT

Authorized Official Title
OWNER/LPCS
Authorized Official Phone
(336) 745-7179

Reviews for SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Professional)
206 FAIR OAKS LN
WINSTON SALEM, NC 27127
Counselor (Mental Health)
206 FAIR OAKS LN
WINSTON SALEM, NC 27127
Counselor (Mental Health)
206 FAIR OAKS LN
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.