Organization · Type 2 NPI
4.1.7 Counseling, PLLC
Mental Health Counselor · Washington, NC
NPI number
1104783612
Active
Practice location
417 N Bridge St
Washington, NC 27889-4827
Mailing address
3231 Idalia Rd
Aurora, NC 27806-9525
Other practice locations
- 3231 Idalia Rd, Aurora, NC 27806-9525 · (252) 481-1007
- 151 W Main St Apt 202, Washington, NC 27889-5266 · (252) 481-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Social Worker | 104100000X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Washington
- Eastern Community Care FoundationMental Health Counselor Washington, NC NPI 1023505112
- Tranquil WatersMental Health Counselor Washington, NC NPI 1154826220
- Inner Banks Counseling Inc.Mental Health Counselor Washington, NC NPI 1710503784
- Dream Provider Care ServicesMental Health Counselor Washington, NC NPI 1912952672
About NPI 1104783612
4.1.7 Counseling, PLLC's National Provider Identifier is 1104783612, issued on Jan 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Washington, NC. The record was last updated on Jan 8, 2026.