PEACEFUL WATERS COUNSELING AND WELLNESS CENTER, P.C. (NPI# 1811464332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811464332 |
| Entity Type | Organization |
| Organization Name | PEACEFUL WATERS COUNSELING AND WELLNESS CENTER, P.C. |
| Practice Address |
380 Caratoke Hwy Ste J Moyock NC 27958-8623 |
| Practice Telephone | 2522328086 |
| Mailing Telephone | 2522328086 |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | KAYLEE BYNUM (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Telephone | 2522328086 |
| Authorized Official Credential | LCMHC, NCC, CCMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
380 CARATOKE HWY STE J |
| City | MOYOCK |
| State | NC |
| Zip Code | 27958-8623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609228287 | Kaylee Brooke Bynum | Counselor | 380 Caratoke Hwy Ste J, Moyock, NC 27958-8623 | 2016-07-07 |
| 1487266912 | Kathryn Elizabeth Brown | Counselor | 380 Caratoke Hwy Ste J, Moyock, NC 27958-8623 | 2020-08-17 |
| 1932735719 | Keiko J Chibana-shinn | Counselor | 380 Caratoke Hwy Ste J, Moyock, NC 27958-8623 | 2020-03-12 |
| 1285120717 | Leslie Dempsey | Counselor | 380 Caratoke Hwy Ste J, Moyock, NC 27958-8623 | 2018-07-09 |
| 1376037655 | Donesha Brothers | Social Worker | 380 Caratoke Hwy Ste J, Moyock, NC 27958-8623 | 2018-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349346 | Toi L Graham | Marriage & Family Therapist | 380 Caratoke Hwy Suite J, Moyock, NC 27958 | 2019-08-01 |
| 1841317963 | Coastal Rehabilitation Inc | Physical Therapist | 532c Caratoke Highway, Moyock, NC 27958 | 2007-03-23 |
| 1144377227 | Donald Dean Dowdy Jr. | Physical Therapist | 532 C Caratoke Highway, Moyock, NC 27958 | 2007-01-04 |
| 1154428092 | Corolla Pharmacy Inc | Pharmacy | 532 A Caratoke Hwy, Moyock, NC 27958 | 2006-09-20 |
| 1174929095 | Carly Jean Gray | Physician Assistant | 534 Caratoke Hwy, Moyock, NC 27958 | 2014-11-05 |
| 1619396470 | Nitish Jasmine Manning | Family Medicine | 534 Caratoke Hwy, Moyock, NC 27958 | 2014-04-09 |
| 1083945257 | Allison Ruth Williams | Physician Assistant | 534 Caratoke Hwy, Moyock, NC 27958 | 2010-01-27 |
| 1588769525 | Forrest P Old Jr. | Internal Medicine | 534 Caratoke Hwy, Moyock, NC 27958 | 2006-09-14 |
| 1689756124 | Dennis Gaskin | Dentist | 107 Lazy Corner Rd, Moyock, NC 27958-0356 | 2006-10-20 |
| 1942849864 | Stacy M Rush | Counselor | 120 Cypress Landing Dr, Moyock, NC 27958-2500 | 2019-12-23 |
| Find all providers in zip 27958 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| 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.