SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC (NPI# 1396215737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396215737 |
Entity Type | Organization |
Organization Name | SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC |
Practice Address |
206 Fair Oaks Ln Winston Salem NC 27127-3178 |
Practice Telephone | 3367457179 |
Practice Fax Number | 3368423055 |
Mailing Telephone | 3367457179 |
Mailing Fax Number | 3368423055 |
Enumeration Date | 2018-11-28 |
Last Update Date | 2018-11-28 |
Authorized Official Name | TIMEKA A SOUTHERLAND (OWNER/LPCS) |
Authorized Official Telephone | 3367457179 |
Authorized Official Credential | LPCS, CSOTS, TFC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
Other Name | Type Code |
---|---|
S.T.A.R. Counseling & Consulting Services, PLLC | Other Name - Individual/Organization |
Street Address |
206 FAIR OAKS LN |
City | WINSTON SALEM |
State | NC |
Zip Code | 27127-3178 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215163167 | Timeka A Southerland | Counselor | 206 Fair Oaks Ln, Winston Salem, NC 27127-3178 | 2009-06-05 |
1609402346 | Tonjia Kiara Armstrong | Counselor | 206 Fair Oaks Ln, Winston Salem, NC 27127-3178 | 2020-03-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821695164 | North Davidson Dialysis Center of Wake Forest University | Clinic/Center | 295 Millers Creek Drive, Winston Salem, NC 27127 | 2020-10-08 |
1326654963 | Procare Home Health, LLC | Home Health | 12133 Nc-150 Suite C, Winston-salem, NC 27127 | 2020-09-18 |
1952809576 | Lamboy and Rubio Dds Pa | Dentist | 2563 Peters Creek Pkwy, Winston Salem, NC 27127 | 2018-01-29 |
1427403815 | Ramona Rorie Griffin Noble | Counselor | 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 | 2016-05-04 |
1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
1487030060 | Llibott Consultorios Medicos- Ws,pllc | Clinic/Center | 1145 Silas Creek Pkwy, Winston Salem, NC 27127 | 2015-08-05 |
1740688266 | Bonnie M. Clifton | Specialist/Technologist | 800 Salisbury Ridge Rd, Winston-salem, NC 27127 | 2014-12-16 |
1740606706 | Yen T Nguyen Dmd Pllc | Dentist | 2375 Brewer Road, Winston-salem, NC 27127 | 2014-03-13 |
1316254451 | Marquis D. Bailey | Specialist | 200 Alexander Preston Ln, Winston - Salem, NC 27127 | 2010-09-10 |
1093991234 | Independent Living Group Home, LLC | Custodial Care Facility | 924 Cloister Dr, Winston Salem, NC 27127 | 2008-01-17 |
Find all providers in zip 27127 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932723301 | Open Hearts Healing Minds | Counselor | 2714 Henning Dr Ste 4, Winston Salem, NC 27106-4502 | 2020-06-02 |
1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
1568000610 | Lynn Bentley | Counselor | 4945 Century Oaks Ln, Winston Salem, NC 27106-8721 | 2019-12-18 |
1467007468 | Teresa Flake | Counselor | 605 W 24 1/2 St, Winston Salem, NC 27105-4904 | 2019-08-06 |
1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
1750888038 | Moore Ways To Success LLC | Counselor | 500 W 4th St Ste 203g, Winston Salem, NC 27101-2782 | 2018-04-12 |
1336643386 | Aileen Imana Lassiter | Counselor | 1462 Cherry St Apt 121, Winston Salem, NC 27105-5888 | 2018-03-22 |
1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
1538676481 | Aubrey Carr Wendelboe | Counselor | 3000 Bethesda Pl Ste 103, Winston Salem, NC 27103-3323 | 2018-01-01 |
1528508330 | Janell Lafaye Jordan | Counselor | 5354 Villas Dr, Winston Salem, NC 27103-6462 | 2017-02-27 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27127 |
Please comment or provide details below to improve the information on SOUTHERLAND TREATMENT AND REHAB(STAR) COUNSELING&CONSULTING SVCS, PLLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.