MEDICARE: ALL EARS COUNSELING, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1760052179
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL EARS COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	5030 PETERS CREEK PKWY # 1028
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-7276
Country	:	US
Telephone Number	:	910-821-3260
Fax Number	:

Provider Business Practice Location Address
First Line	:	5030 PETERS CREEK PKWY # 1028
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27127-7276
Country	:	US
Telephone Number	:	910-821-3260
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	MEREDITH L STALEY
Credential	:	LCSW
Telephone Number	:	910-821-3260

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	07/31/2025

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