Healthcare Provider Details

I. General information

NPI: 1831503622
Provider Name (Legal Business Name): POSSIBILITIES COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 02/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 LONG SHOALS RD
ARDEN NC
28704-8470
US

IV. Provider business mailing address

799 GLENN BRIDGE RD
ARDEN NC
28704-8436
US

V. Phone/Fax

Practice location:
  • Phone: 828-651-6290
  • Fax: 828-412-4253
Mailing address:
  • Phone: 828-707-4179
  • Fax: 828-254-0762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7922
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7922
License Number StateNC

VIII. Authorized Official

Name: JULIE C CAGLE
Title or Position: OWNER/SOLE PRACTITIONER
Credential: LPC
Phone: 828-707-4179