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JODI PROVINCE COUNSELING SERVICES PLLC
NPI 1790249969
Counselor - Professional in Yadkinville, NC

Active since January 22, 2019
714 CAROLINA AVE STE A, YADKINVILLE, NC 27055(336) 818-0733(336) 818-0734 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2020, Oct 6, 2020, Jul 18, 2019 and 1 more (4 updates tracked since 2019).

About Jodi Province Counseling Services Pllc NPPES

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

JODI PROVINCE COUNSELING SERVICES PLLC (NPI 1790249969) is a healthcare organization registered as a professional in Yadkinville, North Carolina and active in the NPI registry since January 2019. The organization lists Jodi Tilley Province, Owner, as its authorized official.

NPPES Registry Identity

NPI1790249969
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameJODI PROVINCE COUNSELING SERVICES PLLC
Location Address714 CAROLINA AVE STE AYadkinville, NC 27055-7760
Mailing Address1260 College Ave Ste 1Wilkesboro, NC 28697-2700 · (336) 818-0733 · Fax (336) 818-0734
Phone(336) 818-0733
Fax(336) 818-0734
Organization SubpartNo
Authorized OfficialJodi Tilley ProvinceOwner · (336) 818-0733
Enumeration DateJanuary 22, 2019
Last NPPES UpdateOctober 12, 20204 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
✔ NPI 1790249969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
714 CAROLINA AVE STE A, Yadkinville, NC 27055
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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

Other Providers at the Same Location NPPES 5

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

KAYLA GENTRY BULLARD MSW, LCSWA
Social Worker (Clinical)
714 CAROLINA AVE STE A
YADKINVILLE, NC 27055
Yadkin County (336) 818-0733
TORIA DAVENPORT JENKS LCMHCA
Counselor (Professional)
714 CAROLINA AVE STE A
YADKINVILLE, NC 27055
Yadkin County (336) 818-0733
MRS. LESLIE RENO SMITH LCMHCA
Counselor (Professional)
714 CAROLINA AVE STE A
YADKINVILLE, NC 27055
Yadkin County (336) 818-0733
MACKENZIE LAUREN BOYLES LCMHCA
Counselor (Professional)
714 CAROLINA AVE STE A
YADKINVILLE, NC 27055
Yadkin County (336) 818-0733
DEBORAH SUZANNE WAGES
Counselor (Professional)
714 CAROLINA AVE STE A
YADKINVILLE, NC 27055
Yadkin County (336) 818-0733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jodi Province Counseling Services PLLC's NPI number?

The NPI number for Jodi Province Counseling Services PLLC is 1790249969. It was assigned to this organization in the NPPES registry on January 22, 2019.

Where is Jodi Province Counseling Services PLLC located?

Jodi Province Counseling Services PLLC is located at 714 Carolina Ave Ste A, Yadkinville, NC 27055. The listed phone number is (336) 818-0733.

What is Jodi Province Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jodi Province Counseling Services PLLC was last updated on October 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.