Healthcare Provider Details

I. General information

NPI: 1174443220
Provider Name (Legal Business Name): COLLABORATIVE COUNSELING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3416 LOVAGE DR
APEX NC
27502-7401
US

IV. Provider business mailing address

3416 LOVAGE DR
APEX NC
27502-7401
US

V. Phone/Fax

Practice location:
  • Phone: 919-589-3203
  • Fax:
Mailing address:
  • Phone: 919-589-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SARAH C RILEY
Title or Position: CO-OWNER
Credential: LCSW
Phone: 540-493-3123