Healthcare Provider Details

I. General information

NPI: 1821941881
Provider Name (Legal Business Name): ACCEPTANCE COUNSELING SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 ERIC LN STE D3
BURLINGTON NC
27215-5076
US

IV. Provider business mailing address

2602 ERIC LN STE D3
BURLINGTON NC
27215-5076
US

V. Phone/Fax

Practice location:
  • Phone: 336-520-2270
  • Fax: 336-800-3735
Mailing address:
  • Phone: 336-520-2270
  • Fax: 336-800-3735

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number State

VIII. Authorized Official

Name: DERRICK FOWLER
Title or Position: CLINICAL DIRECTOR
Credential: MSRC, LCAS, LCMHC
Phone: 336-520-2270