ESSENTIAL WELLNESS COUNSELING PLLC


Address: 4350 Main St Ste 213, Harrisburg, NC 28075-7448
Phone: 9802361704

ESSENTIAL WELLNESS COUNSELING PLLC (NPI# 1740805019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740805019
Entity Type Organization
Organization Name ESSENTIAL WELLNESS COUNSELING PLLC
Practice Address 4350 Main St Ste 213
Harrisburg
NC 28075-7448
Practice Telephone 9802361704
Practice Fax Number 9802060709
Mailing Telephone 9802361704
Mailing Fax Number 9802060709
Enumeration Date 2020-06-12
Last Update Date 2020-06-12
Authorized Official Name TYEEKIA BLUE (PSYCHOTHERAPIST)
Authorized Official Telephone 9802361704
Authorized Official Credential LCSW, LCAS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 1083153563 05

Office Location

Street Address 4350 MAIN ST STE 213
City HARRISBURG
State NC
Zip Code 28075-7448

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1740642289 Bradley William Lind Podiatrist 3800 Hwy 49 South, Harrisburg, NC 28075 2016-03-23
1578870630 David A Hysell Physical Therapist 8555 Magnolia Springs Dr, Harrisburg, NC 28075 2010-09-09
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417588138 Anyea Abney Counselor 4755 Linglestown Rd Ste 206, Harrisburg, PA 17112-8547 2020-01-31
1861960502 Kelsi Graff Counselor 3544 N Progress Ave Ste 201, Harrisburg, PA 17110-9638 2018-11-12
1598289951 A Behavioral Health Cooperative, L.L.C. Counselor 32663 Bush Garden Dr, Harrisburg, OR 97446-9751 2017-07-27
1811429491 Christine Cappuzzo Counselor 2280 Mockingbird Rd, Harrisburg, PA 17112-9615 2017-04-01
1942658901 Tuan Bui Counselor 21 S River St, Harrisburg, PA 17101-2017 2016-06-01
1013317411 Robert Derner Jr. Counselor 2700 Commerce Dr., Harrisburg, PA 17110 2014-09-04
1942611660 Ruth Cruz Counselor 1717 Fulton St, Harrisburg, PA 17102-1632 2014-05-15
1700146719 Aaron Clinton Oakes Counselor 450 N 6th St, Harrisburg, OR 97446-8620 2012-05-23
1710253166 James K Holt Counselor 5400 Chambers Hill Road, Harrisburg, PA 17111-2545 2012-03-30
1285906891 Susan Diann Agyeman Counselor 2002 Daybreak Cir, Harrisburg, PA 17110-9296 2012-01-30
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Competitor

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City HARRISBURG
Zip Code 28075

Improve Information

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Dataset Information

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.

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