Individual provider · Type 1 NPI

Ty Prentice, MA, NCC

Counselor · Bolivia, NC

NPI number 1851265631 Active

Practice location

3972 US Highway 17 Bus E Ste I2
Bolivia, NC 28422-8698

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1851265631

Ty Prentice, MA, NCC's National Provider Identifier is 1851265631, issued on Oct 3, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Bolivia, NC. The record was last updated on Sep 14, 2026.